Open AccessExuberant Hand-Foot-Mouth Disease: An Immunocompetent Adult with Atypical Findings
Author(s) -
Joana Cordeiro e Cunha,
Ana Lima Silva,
Renato Maia Nogueira,
Denise Fernandes,
Tatiana Salazar,
Maria Caroliunes Vilela,
Jorge Salomão
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001609
Subject(s) - medicine , coxsackievirus , enterovirus , disease , dermatology , pediatrics , enterovirus 71 , immunology , virus , pathology
Non-polio enteroviruses are ubiquitous viruses responsible for a wide spectrum of disease in people of all ages, although infection and illness disproportionately affect infants and young children. Hand-foot-mouth disease (HFMD) is an enteroviral clinical syndrome most frequently caused by coxsackievirus-A16 and enterovirus-A71. Since 2008, a novel coxsackievirus-A6 genotype has been associated with more severe HFMD in both children and adults, presenting with a unique constellation of findings, and whose prevalence has been increasing over the last few years. In this case report, an atypical clinical picture of confirmed enterovirus HFMD is described in an immunocompetent adult, with exuberant clinical findings, clinically consistent with coxsackievirus-A6 infection. This case report highlights the importance of awareness of the clinical presentation of this increasingly common infection in adults.