The appearance of a rash on the body can greatly disturb people, especially when it comes to a child. Not surprisingly, they are beginning to be interested in issues related to this disease.

Why does it occur? What does chickenpox look like? How to treat? Let's take a closer look.

What is this disease?

Chickenpox is an acute infection with the appearance of typical rashes and signs of an intoxication syndrome.

A person is quite susceptible to the virus, however, having been ill, he acquires a tense immunity that will protect him from re-infection all his life.

ICD-10 code

In the international classification of diseases, chickenpox is usually indicated by the code B01 .

In the presence of complications from organs and systems, the following designations of the disease are distinguished:

• B01.0 - with meningitis;
• B01.1 - with encephalitis;
• B01.2 - with pneumonia;
• B01.8 - with other complications;
• B01.9 - without complications.

Video (Dr. Komarovsky):

Causes

The disease causes HSV type 3. This is a DNA-containing virus that is incapable of dividing outside the human body, therefore it is not stable in the environment.

Most often, people suffer from an illness in the autumn-spring period. Sick faces are the reservoir and source of chickenpox.

What danger the infection poses to others depends on how many days chickenpox is contagious. This period usually lasts for the last 10 days of the incubation period and 5-7 days of the rash period.

Transmission way:

• Airborne;
• Contact household (difficult to implement);
• Transplant.

How chickenpox starts: symptoms and first signs

The main manifestations of the disease are:

• The formation of a typical rash;
• Fever: the temperature rises to 39-40 degrees;
• Weakness and loss of strength.

At the initial stage, a person begins to be disturbed by malaise and weakness. With their appearance, flat pinkish spots the size of a pea are formed. At the same time, the temperature rises. In adults, it can reach high values.

After 1 hour, the rash spreads rapidly, appearing on almost any part of the body. However, for chickenpox, the formation of elements on the scalp and on the face is most characteristic, and then it spreads to the whole body.

A few hours later, a vesicle with transparent contents forms in the center of the spot. It is accompanied by intense itching. After 1-2 days, it dries up, becomes covered with a brown crust. The latter disappear after 1-2 weeks from the moment the first elements of the rash appear, and slight pigmentation remains in its place, which disappears after some time.

Stages of the disease

There are 3 main stages of the disease:

1 stage

The formation of pink flat spots. They don't cause any disturbance.

2 stage

Literally after a few hours, the rashes become larger, they increase and turn into bubbles, which contain a clear liquid inside.

Vesicles spread throughout the body, except for the palms and feet, and begin to itch. This leads to the formation of scratches on the skin.

3 stage

The blisters dry up on about the 3rd day of illness, a reddish crust forms. Every 1-2 days, new rashes appear on the skin.

At the height of the disease, various elements of the rash are observed at different stages of their development.

In children

Chickenpox in children has characteristic features: the symptoms of the onset of the disease differ from those in adults. They are not characterized by prodromal phenomena in the form of general malaise, weakness and high body temperature.

The disease is more susceptible to children of preschool and school age who attend child care facilities.

Features of chickenpox in children :

• It is characterized by severe itching, the child scratches the rash.
• The spread of the rash does not have any regularity, it appears on any part of the body.
• First, rashes in the form of reddish spots, after which a papule forms, a cavityless element located above the level of the skin. Soon, small bubbles appear, filled with a clear liquid, and, in the end, they are replaced by crusts.
• Elements of the rash appear simultaneously, and the stages of their development are different. Chickenpox is characterized by sleepiness.

In adults

Adults tend to have a more severe course of the disease. Symptoms such as fever and malaise with weakness are prominent.

How does chickenpox manifest in adults :

• Eruptions more profuse than in children.
• Most often, pustules form from vesicles.
• The rash spreads throughout the body, especially on the scalp, face and neck.
• Rashes do not appear on the palmar surface of the hands and plantar - on the feet.
• Lymph nodes are affected.
• Podsypanie can occur within 3-8 days with the advent of new waves of fever.

Turkish windmill 2017

The media recently mentioned the so-called Turkish chickenpox: 2017 was remembered by many vacationers with this ailment. People have become massively infected with the Coxsackie virus in Turkey, the symptoms of which resemble chickenpox.

The main manifestations of the disease are :

• Fever with body temperature up to 40 degrees;
• The formation of rashes;
• Dehydration of the body.

The disease is dangerous by the development of complications: meningitis, a violation of the cardiovascular system. To date, a vaccine against this infection has not been created, so doctors have to deal only with its manifestations.

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Treatment

There is no specific therapy for the disease. Treatment is carried out on an outpatient basis, except for the complicated course of chicken pox.

The main groups of drugs:

• Antihistamines - Tavegil, Cetrin, Claritin. They reduce the sensation of itching.
• Antibacterial drugs - with the formation of pustules.
• Antipyretic drugs - Paracetamol, Nurofen. Used to lower body temperature.
• Antiviral medicines - Leukiferon - to fight the virus.
• Local antiseptics for the treatment of rash elements: 1% solution of brilliant green or potassium permanganate.

How to smear chickenpox in children other than brilliant green? Experts recommend the use of such tools:

• Compliance with bed rest;
• Frequent change of bed linen;
• The use of a large amount of liquid;
• Adhering to a special diet that includes dairy products, fruit and vegetable dishes.

Parents are often asked: is it possible to swim with chickenpox? Most Russian pediatricians do not advise taking a water procedure until the last wave of the rash subsides.

However, experts from Europe and the United States argue that bathing is possible and even necessary. When washing, you need to follow some rules: refuse hot water, use a washcloth and detergents. Instead, you need to use a solution of potassium permanganate. At the end of the wash, you can not dry yourself thoroughly, instead you should get wet with a towel.

Prevention

It is believed that the chickenpox vaccine is quite effective. It has a high immunogenicity and forms immunity in almost all vaccinated babies under the age of 5 years. In older children, the percentage of immunity formation is less, so re-vaccination is required.

It is believed that chickenpox is a childhood disease that occurs easily and without the development of complications. In fact, the disease can be dangerous, affect adults, and also cause adverse consequences for the patient. Vaccination is an effective preventive measure for people of any age, which allows to form the body's immunity.

Diseases caused by representatives of intestinal pathogens have a variety of symptoms, many clinical manifestations and vary in severity. All this complicates the recognition of the type of virus and can lead to incorrect treatment. One of the options for an infectious disease in young patients is Turkish chickenpox. This name arose due to the rise in the incidence in hot resort areas, and also because of the analogy with the symptoms of simple chicken pox.

Distribution methods

The causative agent of chickenpox is the Coxsackie virus of groups A and B. After successful treatment - lifelong immunity. The most basic transmission mechanism is fecal-oral. In other words, Turkish chickenpox is a “disease of dirty hands”.

The main ways of distribution:

• impure water;
• Contaminated food or household items;
• Transfer of the Coxsackie virus and chickenpox by various insects;
• Airborne route through sneezing and saliva;
• Through the placenta by the mother to the unborn child.

The Coxsackievirus is produced from the intestines of an infected person, and the possibility of catching Turkish chickenpox is very high.

More often, children of two to eight years old get the disease in crowded places, for example, when attending children's events. Infection of children under the age of two years is considered dangerous.

A characteristic feature of enterovirus infection is an outbreak of the disease. One carrier is enough in the area of ​​​​high crowding of human society for a sharp jump in the incidence to occur. Especially dangerous are the updated variations of the virus, which are difficult to treat.

Exists:

• Intestinal outbreak of infection (in places of food production or distribution of finished products);
• Water outbreak of disease (dirty pool, low hygiene culture).

An important role in the distribution is played by the humid and hot climate of many resort areas.

Mechanism of development of Turkish chickenpox

1. Damage to the lymphatic system. Some time after the virus enters the stomach, and then the human intestines, as well as the nasal cavity, the pathogen penetrates deep into the body into liquid media (lymph).
2. Getting into the blood, as well as further distribution throughout the body. The liver, spleen and bone marrow are exposed to increased attack. Inside them, pathogens multiply intensively. This takes approximately three days.
3. Mass transfer of the virus from the blood into the body. The oropharynx and nasal cavity become inflamed.

The Coxsackie virus with chickenpox can continue to be excreted from the human body for 30 days or more.

Signs of an enterovirus infection

Often in patients with one carrier, the symptoms of the course of the disease differ. Because of this, it is difficult to make a correct diagnosis. Turkish chickenpox, as the infection develops in the body, manifests itself in different ways:

• The average incubation period is a week or less, but there are shorter (a couple of days) and longer (ten days) intervals.
• prodromal period. The difference of this stage is the lack of desire to eat, increased loss of strength, desire to sleep a lot. The patient is already a carrier of the infection. If chickenpox occurs in a mild form, then inflammatory processes are not observed.
• fever period. Hyperthermia occurs - a high temperature of up to 40 degrees, which is very difficult to bring down with antipyretic drugs. Soreness of the body, discomfort in the muscles, chills, redness of the sclera, sensitivity of the eyes to light. Enlarged lymph nodes. Nausea, vomiting, loose stools.

Rash

The main location of the rashes on the body, in addition to the palms, feet, torso, arms and legs, is the oral cavity and nails.

1. On the first day of high temperature, pale pink spots appear on the body without clear outlines. Gradually, their color becomes more saturated, and they increase in size, forming papules. From the side, they appear higher than neighboring skin areas. There is an obsessive desire to comb education.
2. After a couple of days, vesicles appear - blisters of small diameter. The whims of the child intensify, he sleeps little.
3. After a while, the vesicles open up and dry up. The skin turns pale and begins to peel off.
4. After a week, the rash is completely gone. Restoration of the integrity of the epithelial cells of the skin occurs in about ten days.

Turkish chickenpox in adults

Basically, the younger part of the population is exposed to this disease, since the adult generation often has immunity to enteroviruses. But if the opposite happens, and an adult gets sick with Turkish chickenpox, then the symptoms are most often mild. Particular vigilance should be observed for women in the position, in the last three months of pregnancy.

In the presence of chickenpox A - class, the symptoms completely coincide with the course of the disease in small patients, with rashes on the body, itching and peeling of the skin.

Differences and Similarities Between Chickenpox and Turkish Chickenpox

Classic chickenpox:

• The causative agent is herpes type 3.
• More often they get sick in the cool season of the year.
• The method of transmission is only through the air.
• It is easier to tolerate in childhood, high temperature is easily stopped by classical medicines.
• The rash on the body has a mixed character, vesicles are simultaneously adjacent to red spots. Often small scars remain on the skin.
• Skin rash predominates.

Turkish chickenpox symptoms are as follows:

• The causative agent is Coxsackievirus (enterovirus).
• The peak incidence is during the hot season.
• In addition to the airborne way, you can become infected through unwashed food, dirty hands or contaminated water.
• In adults, the symptoms of Turkish chickenpox are much milder. The course of the disease is easier than in small children.
• Gradual "evolution" - a change in the nature of the rash, the spots turn into papules, and only then into vesicles, the skin will peel off. There are no remaining changes.
• Inflammation of the oropharynx and tonsils predominates, spots on the skin are insignificant.

Therapy

At home, Turkish chickenpox is treated only with a mild course of the disease.

• It is necessary to monitor the drinking regime to avoid the accumulation of toxins in the body.
• Reception of antipyretics based on Paracetamol or Ibuprofen.
• Mandatory treatment of skin rashes with antiseptic agents: Fukortsin, Calamine, brilliant green solution (brilliant green).
• The oral mucosa is rinsed with herbal decoctions of chamomile, calendula or eucalyptus. For more extensive rashes, rinse your mouth with Furacilin.

Warning signals when to see a doctor

• If the child does not go to the toilet "in a small way" for a long time.
• Complete refusal to eat and drink.
• A state of delirium and inadequacy.
• Hyperthermia for more than three days.
• Violation of the frequency and depth of breathing.
• Blueness of the skin.

Turkish chickenpox can cause complications in the work of internal organs and the central nervous system. For this reason, treatment must be supervised by competent medical professionals and carried out in a hospital.

Turkish chickenpox is an enteroviral disease caused by the Coxsackie RNA virus that infects the human digestive system. The virus got its name from the city in which it was first discovered. There are more than twenty types of Coxsackie viruses, which experts have divided into three groups of pathogenic enteroviruses: A, B and C. Usually infectious agents are activated in the warm season.

Recently, in the popular resorts of the Black Sea, cases of Turkish chickenpox have often been recorded, and 2017 was no exception. There are many reports that after arriving in Turkey, children become ill with an enterovirus disease caused by the Coxsackie virus. Unfortunately, it is almost impossible to prove that the babies were not infected before coming to rest.

The authorities treat this problem extremely dismissively. “Bloated problem. Wash your hands - and everything will be fine, ”says Yuri Avdeev, owner of a popular travel company. Doctors advise not to let kids into pools and other places of high concentration of children. The best solution would be to spend time with the child in the sea and carefully monitor the quality of food and water consumed. Also, outbreaks of Coxsackie infection occurred in Malaysia, Greece and China. What Turkish chickenpox looks like can be seen in the photo on our website. You can see for yourself what Turkish chickenpox looks like in the photo in this article.

What are the main routes of transmission of the disease? Turkish chicken pox Coxsackie is highly contagious and spreads easily between people through airborne droplets, food, drinking water, personal hygiene items, excretions or blood. When communicating with a sick person, the likelihood of infection is quite high. This is especially true of the initial period of the disease. Adults get sick quite rarely, children are in the main risk group.

Turkish chickenpox in children

A Turkish infection similar to chickenpox often happens in kindergartens. One of the main points of disease prevention is careful observance of the simplest children's hygiene. Turkish chickenpox has an incubation period of 6 to 10 days. Immediately after it, the primary signs of infection begin to appear, similar to the common cold.

With Turkish chickenpox, the symptoms in a child are the appearance of abscesses in the form of small ulcers filled with liquid, located in the oral cavity, on the limbs and buttocks. In some cases, the rash can cover all legs and even affect the genitals.

With Turkish chickenpox, herpetic sore throat may appear

With Turkish chickenpox, herpetic sore throat may appear. The process will be accompanied by poor health, high fever (39-39.5), sore throat or herpetic sore throat, vomiting and intestinal upset. Sometimes in children infected with the Turkish chickenpox Coxsackie virus, the incubation period can be only three days.

Direction of treatment

With Turkish chickenpox Coxsackie, treatment in children should be under the strict supervision of a doctor. The use of antibiotics in this case is unacceptable, because. the disease is viral in nature. When the first symptoms appear, you should immediately contact a virologist to confirm the diagnosis and prescribe the correct course of treatment. Sometimes there is a need to re-diagnose enteroviruses in the baby's body if additional inflammation has appeared.

The first thing you have to deal with is dehydration caused by the child's reluctance to swallow because of pain. If symptoms appear in a newborn, you need to moisten the nipples more and call a doctor. The water-salt balance will be restored by Reosolan and other Rehydrotants.

With proper treatment, it will take up to five days to improve the well-being of the baby. Symptoms should go away within a week.

In the treatment of enteroviruses, interferons, immunoglobulins and pleconaril are used. To reduce fever, it is recommended to use children's Paracetamol, and as an anesthetic -. These drugs can be given to children older than three months and weighing more than five kilograms. Doses of drugs are prescribed by a specialist.

Pain in the mouth will help reduce the gel from cutting teeth. It must be smeared on the entire area covered with sores. You can also use Hexoral as sprays for sore throats and antihistamines for itching (, Loratadin, Psilo-balm and Erius). General intoxication will be defeated by various sorbents (activated carbon, and Smecta).

According to the reviews of mothers who encountered this disease on a tourist trip, doctors in Turkey treat this virus with drugs containing acyclovir. A syrup containing acyclovir is also prescribed and externally with an ointment with it, itching is also removed. Note that after the transfer of the disease, a strong immunity to a certain type of enterovirus is not established.

Coxsackie virus (source - Wikipedia)

Turkish chickenpox in adults

Most often, the infection affects children, because. the mature part of the population usually has immunity to enteroviruses, but sometimes adults can also be infected with the virus, which can lead to a number of problems. Particular care should be taken by pregnant women. If they catch the infection in the third semester, they can pass it on to the baby. But, as a rule, this does not lead to serious consequences for the fetus.

With Coxsackie's Turkish chickenpox, symptoms in adults do not manifest themselves in the same way as in the children's part of the population. The disease causes sores on the skin in babies. The symptomatology of Turkish chickenpox Coxsackie in adults depends on the type of enterovirus.

What are the consequences of untimely start of treatment for Turkish chickenpox? When infected with a category A virus, the clinic is exactly the same as in children, and is expressed in the appearance of a rash and skin peeling. But class B can lead to serious complications that manifest themselves in various ways.

In Turkish chickenpox, symptoms are usually associated with the onset of fever. Sometimes the disease can be asymptomatic. There are cases when the infection leads to the following serious complications:

• encephalitis (brain damage); hemorrhagic conjunctivitis (damage to the membrane of the eye);
• myocarditis (damage to the heart muscle); diabetes; hepatitis C (liver damage);
• meningitis (damage to the meninges); pleuralgia (damage to the chest muscles);
• paralysis; pericarditis (damage to the heart sac);
• ; Infectious mononucleosis; skin lesions.

Hand-foot-mouth virus (coxsackie virus, enterovirus, Turkish chickenpox)

Therapeutic methods

In case of infection with Turkish chickenpox, treatment depends on the symptoms and is aimed at eliminating them. Not a single pharmacist in a pharmacy will tell you how to treat Turkish chickenpox, since there are no narrowly specialized drugs against it. Medicines are prescribed by a specialist only after a comprehensive diagnosis of the disease. Most often, ulcers are treated with antiseptics, you can rinse your mouth with a solution of furacilin.

Skin rashes are treated with Fukortsin, iodine or ordinary brilliant green. The inflammatory process will help to remove paracetamol and Ibuprofen. In severe cases of the disease, Amiksin is prescribed.

It is necessary to adhere to bed rest, follow a special diet and take vitamins. Doctors urge to give up food that irritates the oral cavity (salty, sour and spicy foods).

During this period, it is very important to carefully observe personal hygiene to prevent the transmission of the virus to healthy people and immediately dispose of individual items to maintain hygiene after use (napkins, scarves, pads, diapers).

The infection often leads to dehydration. It should be dealt with by drinking plenty of water. About 2 liters per day is necessary for a person for normal life and a deviation from the norm can lead to complications. Sometimes the disease flows into a chronic form or a person becomes a carrier of the virus.

Thus, if a child has become infected with Turkish chickenpox, do not be afraid and self-medicate. You should immediately take the baby to a doctor who will make the correct diagnosis and select the best course of treatment. The same applies to adults, for whom inattention to their own health can lead to serious complications. While the virus is easy to catch, practicing good personal hygiene can help reduce the risk of infection. In addition, according to experts, it is worth refusing to rest in Turkish resorts.

In hotels in Turkey this summer, there is again an outbreak of the coxsackie virus, which is called Turkish chickenpox. It affects the gastrointestinal tract and spreads rapidly through sneezing and coughing, as well as through contaminated objects and water. Both children and adults get sick. The incubation period for Turkish chickenpox is 2 to 10 days. The symptoms of the disease are pronounced, it begins with a sharp flash of high temperature, up to 40 degrees. On the body, most often on the feet, hands and face near the mouth, a rash appears in the form of small sores and vesicles. Coxsackies affected by the virus experience nausea, a sharp sore throat, as with a sore throat, and severe itching. Later, diarrhea, runny nose and cough are added to these symptoms.

There are no drugs for the treatment of the coxsackie virus. Antibiotics don't help either. Doctors recommend bed rest for Turkish chickenpox patients, drinking plenty of water, antipyretics at high temperatures, rehydron for diarrhea, and lozenges for sore throats and coughs. A maximum of 10 days recovery occurs. The most dangerous complication may be meningitis. Fortunately, it happens very rarely.

The most effective way to avoid infection with Turkish chickenpox is prevention. Before buying a tour, read the reviews about the hotel. Choose those where outbreaks of this disease have not been identified. If, nevertheless, you ended up in a hotel where an infection occurred, then in order not to get infected, do not swim in the pool and do not take your child to children's animation. Wash your hands before eating, and try to come to the buffet first before the common spoons are captured by the wrong hands.

It is difficult to say in which hotels in Turkey the coxsackie virus is common in 2017. According to the reviews of vacationers in July, he was noted throughout the Mediterranean coast. In June alone, 270 tourists were diagnosed with the disease. And how many did not go to the doctor? For example, here are excerpts from a review taken from a travel forum.

“The other day we arrived from Alanya. There, in a five-star hotel, a child caught the Turkish chickenpox virus. We did not go to the local doctor because we did not want to go to the local clinic. They called their own in Moscow and described the symptoms of the disease. She immediately diagnosed and gave recommendations on how to treat Turkish chickenpox. In the absence of the necessary solutions, we treated the rash on the child's body with vodka, and then sprinkled it with powder. In the Turkish pharmacy of the bank it costs 3 dollars. It's good that there was an allergy remedy that relieved the itch a little.

My advice to those who travel with children to hotels in Turkey in 2017. Swim only in the sea and no pools. Wash your hands often with soap and water, or better yet, treat them with antiseptics. If you bought fruit, rinse it with bottled water. It is better not to give fruit slices to children in a restaurant.

I do not want to write the name of the hotel here. We have been here for the fourth time and have always been satisfied. I sin on a children's excursion, which was three days before the first symptoms of Turkish chickenpox in my child.

What to add here? So everything is clear. Turkish chickenpox coxsackie in 2017 will ruin a vacation for many.

The Coxsackie virus continues to worry both the residents of Turkey and its guests.

Despite the claims of experts that Coxsackie is an enterovirus that is not dangerous and is easily treated, the fear of this virus does not fade away. By the way, in adults, it can cause a variety of complications, up to deadly ones.

There is no vaccine against the Coxsackie virus, and there is no specific drug that can destroy this particular pathogen.

Some tourists decided to change their trip to Turkey for another country, but many still did not panic and refuse the planned trip. The Ministry of Health of the country notes that there is no reason to panic. Despite this, attendance at Turkish resorts has halved. People are afraid of the "Turkish chicken pox", that's what social media users have called it.

The Coxsackie virus has also reached Georgia - several cases appear a month. “Nothing new and supernatural is happening,” commented the National Center for Disease Control and Public Health.

As for Turkey, Kemer, Belek, Side, Antalya and Alanya are currently considered the most virus-infected resorts.

The first case of the Coxsackie virus was recorded in August in Alanya. An eight-month-old child, who was brought to rest by his parents, fell ill. It is noteworthy that children under the age of 14 are more sick with this virus.

The disease lasts from 7 to 10 days. As a rule, the first signs appear in the form of general intoxication of the body, intestinal disorders, fever, skin rashes on the feet, palms and mouth.

Prevention

Key preventive measures include thorough handwashing and the need to cover your mouth with a tissue or at least your hand when you cough or sneeze. The Coxsackie virus is spread by direct human-to-human contact. It is highly contagious and spreads most often through coughs and sneezes. The risk of contracting Coxsackie infection is highest among children under 5 years of age. Pregnant women can transmit Coxsackievirus to newborns.

If one child in the family gets sick, then all other family members are at risk. Therefore, a sick child should have separate cutlery and toys, diapers, clothes and towels, as well as bedding. All family members of the sick person are advised to frequently treat their hands with alcohol antiseptics.

The main thing is hygiene.

During illness, it is important that the patient drinks plenty of fluids. Coxsackie and enterovirus diseases are insidious, they can cause meningitis. With a bacterial complication, it is necessary to start antibiotic treatment, which ones and in what doses a qualified doctor should decide.

Take care of yourself and your family!