Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2148
Título: Hand, Foot, and Mouth Syndrome in an Immunocompetent Adult: a Case Report
Autor: Flor de Lima, B
Silva, J
Rodrigues, AC
Grilo, A
Riso, N
Vaz Riscado, M
Palavras-chave: HCC INF
Acute Disease
Celiac Disease/complications
Celiac Disease/pathology
Celiac Disease/immunology
Celiac Disease/virology
Enterovirus B, Human/immunology
Enterovirus B, Human/isolation & purification
Hand, Foot and Mouth Disease/complications
Hand, Foot and Mouth Disease/immunology
Hand, Foot and Mouth Disease/pathology
Hand, Foot and Mouth Disease/virology
Data: 2013
Editora: BioMed Central
Citação: BMC Res Notes. 2013 Nov 3;6:441
Resumo: BACKGROUND: Hand, foot, and mouth syndrome (HFMS) is a common acute illness. It is characterized by mild clinical symptoms including fever, blisters, and sores in the mouth and on the palms and soles following a 3- to 7-day incubation period. This syndrome is rarely seen in adults. CASE PRESENTATION: A 35-year-old male Caucasian patient had a history of multiple episodes of acute pharyngitis, hypertension, hypercholesterolemia, and occasional abdominal pain. He presented with polyarthralgia in the knees and hands and odynophagia, followed by fever, oral mucosal aphthous lesions, and vesicles on the palms and soles. Three weeks after presentation, he was admitted to the emergency room with acute myocarditis. The in-hospital evaluation revealed positive serology for coxsackie A9 (1:160), positive anti-transglutaminase and anti-gliadin antibodies, normal immunoglobulins, and human immunodeficiency virus negativity. CONCLUSION: We herein describe a case of HFMS that was associated with coxsackie A9 infection complicated by acute myocarditis. Although an association between celiac disease and HFMS has not been described, this patient's immunologic disruption could have favored the development of infection and ultimately HFMS.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2148
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INF - Artigos

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