What supportive treatment is recommended for a case of herpangina caused by coxsackie A?

Herpangina, caused by the coxsackievirus, is a viral illness primarily affecting children, characterized by fever, sore throat, and painful ulcers in the mouth and throat. Supportive treatment is essential for managing symptoms since there is no specific antiviral therapy.

The recommended supportive treatment involves the use of antipyretics to help reduce fever and alleviate pain. Topical lidocaine is particularly effective in numbing the throat and reducing the discomfort associated with the painful oral lesions. This combination helps improve the child’s comfort and allows for better hydration and nutrition, which are critical during recovery.

In contrast, antibiotics are ineffective against viral infections like herpangina, and their use can lead to unnecessary side effects and complications. Corticosteroids may be considered in some inflammatory conditions but are not indicated for herpangina, as they do not address the underlying viral infection. Additionally, fluid restriction would be counterproductive, as maintaining hydration is crucial for recovery. Hence, the supportive approach of antipyretics and topical lidocaine directly targets symptom relief and plays a vital role in the management of herpangina.