Coxsackie infections

Coxsackie Infections: Dangers and Treatment

Coxsackie infections are a group of infectious diseases caused by enteroviruses from the Picornavirus family. They are named after the American city of Coxsackie, New York, where these viruses were first isolated in 1948. Coxsackie infections can manifest in various forms, including herpangina, epidemic pleurodynia, neonatal encephalomyocarditis, viral diarrhea and other diseases.

One of the most common diseases caused by Coxsackie infection is herpangina. Herpangina usually affects young children and is characterized by painful sores on the back of the throat and tonsils. Symptoms of herpangina may include fever, sore throat, headache and decreased appetite. Usually the disease goes away on its own without the need for specific treatment.

Epidemic pleurodynia, or Lucas syndrome, is another common condition caused by Coxsackie infection. It is characterized by acute pain in the chest, which intensifies with deep breathing or movement. Epidemic pleurodynia may be confused with heart disease or other causes of chest pain, so it is important to see a doctor for an accurate diagnosis and treatment.

Neonatal encephalomyocarditis is a serious complication of Coxsackie infection in newborns. This disease is characterized by inflammation of the myocardium (heart muscle) and brain. Symptoms may include an enlarged heart, abnormal heart rhythms, breathing problems, seizures, and unusual behavior. Treatment of neonatal encephalomyocarditis requires medical supervision and may include the use of antiviral drugs and supportive care.

Some viral diarrheas can also be caused by Coxsackie infection. They are characterized by loose stools, painful abdominal cramps, nausea and vomiting. Viral diarrhea usually goes away on its own, but it is important to stay hydrated and follow your doctor's recommendations.

Treatment of Coxsackie infections is mainly aimed at relieving symptoms and keeping the patient comfortable. In most cases, there is no specific antiviral treatment, and the disease resolves on its own within a few days or weeks.

However, the following measures can be taken to relieve symptoms and speed recovery:

  1. Rest and Maintain Hydration: Patients are advised to rest, drink enough fluids, and stay hydrated. This is especially important for viral diarrhea to prevent dehydration.

  2. Symptomatic treatment: Analgesics and antipyretics such as paracetamol or ibuprofen may be used to relieve pain, fever and other symptoms. However, you should consult your doctor or pharmacist for dosage recommendations and appropriate use of these medications.

  3. Maintaining hygiene: To prevent the spread of Coxsackie infection, it is recommended to maintain good hand hygiene by washing your hands regularly with soap and water. It is also important to avoid close contact with people suffering from coxsackie infection and sharing objects such as dishes, towels and toys.

  4. Preventing the spread of infection: In case of epidemic outbreaks of Coxsackie infection, it is important to follow preventive measures, such as isolating patients, frequent cleaning of rooms and surfaces, and the use of antiseptic agents for cleaning common objects.

In general, most Coxsackie infections have a favorable prognosis and do not require specific treatment. However, in case of severe symptoms, especially in newborns or immunocompromised patients, it is important to consult a doctor for professional medical attention and appropriate treatment.

Please remember that this article is only an overview of Coxsackie infections and does not replace consultation with a medical professional. If you experience symptoms or questions, please consult a qualified healthcare provider.



Coxsackie infections are a group of viral diseases caused by the enterovirus of the Coxsackie group. The disease primarily affects the gastrointestinal tract, but can also cause serious diseases of the central nervous system, heart and other complications.

Coxsackie enterovirus belongs to the so-called filoviruses of the Picornaviridae family (from the English “picor” - picora - small or tiny). In the human body it is capable of very rapid reproduction. Within just a few hours, the affected cell is able to multiply the pathogen in such a way that one infected person can become a source of infection for several people.

In modern children, epizootic parotitis and paralysis are most common