Enfermedad mano pie boca en adultos inmunocompetentes. Serie de casos
DOI:
https://doi.org/10.22529/Palabras clave:
Enfermedad mano pie boca, Coxsackie BResumen
La Enfermedad mano pie boca es una patología exantemática viral muy contagiosa, de predominio en la edad pediátrica. Sus agentes etiológicos más frecuentes son los virus Coxsackie y Enterovirus. Se caracteriza clínicamente por la presencia de fiebre, erosiones en mucosa bucal y exantema máculo vesicular en regiones acrales. Generalmente se autolimita, pero puede presentar complicaciones severas con compromiso neurológico, pulmonar y cardíaco. Se han observado brotes mundiales, por lo que actualmente es considerada un problema de salud pública emergente, tanto en poblaciones pediátricas como adultos. Se presentan casos de pacientes adultos inmunocompetentes con transmisión intrafamiliar de Coxsackie B, sin complicaciones severas. Estos casos muestran la importancia de la prevención para evitar brotes epidémicos, además de destacar la presentación infrecuente en adultos inmunocompetentes.Descargas
Referencias
Bennesch MA, Fernández Pardal P, Salvaneschi B. Enfermedad mano-pie-boca del adulto, emergencia del Coxsackie A6. Dermatol Arg. 2017; 23:183-187.
Omaña-Cepeda C, Martínez-Valverde A, Sabater-Recolons M, Jané-Salas E, MaríRoig A, López-López J. A literature review and case report of hand, foot and mouth disease in an immunocompetent adult. BMC Res Notes. 2016; 9 -165.
https://doi.org/10.1186/s13104-016-1973-y
Belazarian LT, Lorenzo ME, Pearson AL, Sweeney SM, Wiss K. Virosis exantematosas. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffel DJ, Fitzpatrick TB. Dermatología en Medicina General 8º Ed. Panamericana, Buenos Aires, 2012; 2359-2362.
Stewart CL, Chu EY, Introcaso CE, Schaffer A, James WD. Coxsackievirus A6- Induced Hand-Foot-Mouth Disease. JAMA Dermatol. 2013? 149:1419-1421. https://doi.org/10.1001/jamadermatol.2013.6777
Slebioda Z, Dorocka-Bobkowska B. Hand, foot and mouth disease as an emerging public health problem: Case report of familial child-to-adult transmission. Dent Med Probl. 2018; 55: 99-104. https://doi.org/10.17219/dmp/80995
Anthony R, Andreoni BS, Andrea S, Colton MD. Coxsackievirus B5 associated with hand-foot-mouth disease in healthy adult. JAAD Case Reports. 2017; 3:165-168. https://doi.org/10.1016/j.jdcr.2017.01.026
Bai JS, Hui JC, Ye C, Xiang DA, Bao SZ. The Risk Factors of Acquiring Severe Hand, Foot, and Mouth Disease: A Meta-Analysis. Hindawi Canadian Journal of Infectious Diseases and Medical Microbiology. 2018; 1- 21. https://doi.org/10.1155/2018/2751457
Li Y, Zhu R, Qian Y, Deng J. The Characteristics of Blood Glucose and WBC Counts in Peripheral Blood of Cases of Hand Foot and Mouth Disease in China: A Systematic Review. Plos One. 2012; 7: (1) e29003. https://doi.org/10.1371/journal.pone.0029003
Repass GL, Palmer WC, Stancampiano FF. Hand, foot and mouth disease: identifying and managing an acute viral syndrome. Review. Cleveland Clinic Journal. 2014; 81: 537-543. https://doi.org/10.3949/ccjm.81a.13132
Yu N, Guo M, He SJ, Pan YX, Chen XX… Evaluation of human enterovirus 71 and coxsackievirus A16 specific immunoglobulin M antibodies for diagnosis of hand-foot-and-mouth disease. Virology Journal 2012; 9:12. https://doi.org/10.1186/1743-422X-9-12
Faulkner C, Godbolt AM, Ambrosis BD, Triscott J. Hand, foot and mouth disease in an immunocompromised adult treated with aciclovir. Australasian Journal of Dermatology. 2003; 44: 203-206. https://doi.org/10.1046/j.1440-0960.2003.00679.x
Pickering LK, Baker CJ, Kimberlin DW, Long SS (Eds.), Red Book: Report of the Committee on Infectious Diseases, 29th Edition. Enterovirus (Nonpoliovirus) and Parechovirus Infections (Group A and B Coxsackieviruses, Echoviruses, Numbered Enteroviruses, and Human Parechoviruses). Elk Grove Village, IL: American Academy of Pediatrics. 2012; 315-318. https://doi.org/10.1542/9781581107357-part03-enterovirus
Qun-ying M, Yiping W, Lianlian B, Miao X, Zhenglun L. EV71 vaccine, a new tool to control outbreaks of hand, foot and mouth disease (HFMD), Expert Review of Vaccines. 2016; 15: 599-606. https://doi.org/10.1586/14760584.2016.1138862
Klein MH. EV71 vaccines: a first step towards multivalent hand, foot and mouth disease vaccines. Expert Review of Vaccines. 2015; 14: 337-340. https://doi.org/10.1586/14760584.2015.993385
Klein M, Chong P. Is a multivalent hand, foot, and mouth disease vaccine feasible? Human Vaccines & Immunotherapeutics. 2015; 11: 2688-2704. https://doi.org/10.1080/21645515.2015.1049780