Exanthem 4: enteroviruses
The majority of infections due to human enteroviruses (coxsackie viruses, echoviruses, and polio viruses) produce non-specific illness. They occur in the summer and autumn months, and occasionally there are characteristic features including the following:
• Meningoencephalitis: aseptic meningitis with an associated skin rash, which can present like meningococcal septicaemia.
• Pleurodynia: febrile illness with pleuritic chest pain and tender thoracic muscles.
• Hand, foot, and mouth disease: painful vesicles on the hands, feet, mouth, and tongue.
• Herpangina: vesicular and ulcerated lesions on the soft palate and uvula.
• Polio: this condition should be eradicated with effective global immunization.