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Treatment of Coxsackie and ECHO infection

Medical expert of the article

Infectious disease
, medical expert
Last reviewed: 19.10.2021

Most patients with Coxsackie and ECHO infection are treated at home. Hospitalization is restricted to children with severe forms of illness (serous meningitis, meningoencephalitis, neonatal encephalomyocarditis, myocarditis, uveitis).

Etiotropic treatment of Coxsackie and ECHO infection has not been developed. Treatment is limited to the prescription of symptomatic and pathogenetic agents. Assign bed rest for a period of acute manifestations of the disease. Essential restrictions in the diet are not needed. When hyperthermia is given antipyretic, with head and muscle aches prescribed paracetamol, ibuprofen, analgin and others.

  • With the development of serous meningitis or meningoencephalitis, dehydration is carried out:
    • intravenously injected 20% glucose solution, 10% calcium gluconate solution;
    • intramuscularly administered 25% solution of magnesium sulfate (0.2 ml / kg at the age of 1 year and 1 ml for 2 years of life in children over the age of one year);
    • prescribe glycerol for 1 teaspoonful or a dessert spoon 3 times a day inside.

Diuretics (lasix, mannitol) are indicated. Relief can bring and spinal puncture.

  • In severe generalized forms, a normal human immunoglobulin is administered to the newborn for intravenous administration up to 1 g / kg per course, prednisolone 3-5 mg / kg per day, rheopolyglucin, albumin, etc.
  • Antibiotics are prescribed only in case of secondary bacterial infection and the development of pneumonia, otitis and other bacterial complications.
  • With encephalomyocarditis of newborns, along with dehydration and anticonvulsant therapy, glucocorticoids (dexamethasone), pentoxifylline, nootropics (pyracetam, nootropil), cardiac glycosides with ATP and cocarboxylase, antibiotics, etc. Are used. A good therapeutic effect is the use of interferon inducers (cycloferon, anaferon children, arbidol and other).
  • In cases of acute cardiac insufficiency, 0.05% solution of strophanthin-K is administered intravenously in an age dose of 20 ml of 20% glucose solution or korglikon.

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