Abstract
Coxsackie virus infection usually presents with mild to moderate clinical manifestations. Within 10 - 14 days a complete cure is achieved. The development of complications occurs rarely.
We present a clinical case of “mouth-hand-foot“ disease in a 3-year-old child who developed complications of the lung, heart, middle ear, and facial nerve. The disease develops on undamaged terrain. Complications occur after a 30-day light period from the viral infection, which is treated on an outpatient basis. The appearance of complications and the child’s sharply deteriorated general condition become a reason for hospitalization. After the medical and surgical treatment, the child was discharged healthy, without medical risk.
Acute suppurative otitis media after a coxsackie virus infection is not common. Complaints may be atypical and therefore missed. The diagnosis is made late, after complications have occurred.
References
S. Velizarova. N. Gabrovska, A. Spasova, A. Galacheva “Coxsackie virus infections in childhood”, MEDINFO, no. 2, 2023
P. Ruev, Otosurgery, 2022
D. Vicheva, “Acute otitis media in Bulgarian children”, MEDINFO, no. 2, 2013