Coxsackie Virus

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9. A 2-year-old girl who attends daycare presents with three days of fussiness and 1 day of refusal to eat. A daycare worker notices a few vesicular lesions on the child’s tongue and fingers of both hands. Which one of the following is NOT a likely culprit of the child’s condition?

A. Polio virus
B. Coxsackie virus
C. Echo virus
D. Herpes virus
E. Enterovirus

Answer: D

Explanation: The child has hand, foot and mouth disease (HFMD). HFMD is caused by enteroviruses, most commonly coxsackie. Polio and echo viruses are also in this virus family. Herpes virus dose cause aphthous ulcers and herpangina, but is not related to the enterovirus family and is not an etiologic agent of HFMD. Typical presentation includes complaints of mouth or throat

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