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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Lesions On The Genitals?

My 27year-old daughter has what appears to be coxsackie virus. It starts 8 days ago. She has had horrible mouth sores, itchy spots on her heals, a 3X3 inch section of blisters on her shoulder (which she had sunburned a couple days before), lesions on her genitals, and under her arms. She has been running a fever. For the last couple days it has fluctuated from normal to mid-99s. She has had five doctors appointments, including seeing a dermatologist and an infectious disease specialist. HIV, herpes and shingles have been ruled out by cultures. We have more tests pending. So . . . here's the question: Over the last couple days she has developed significant pain in her knees. I can't find anything on the web that ties joint pain to coxsackies except one reference that says that if this symptom develops, see a doctor. The dermatologist doesn't know what to make of the joint point. The Infectious Disease specialist says to just treat to symtomatically. Any thoughts? If she misses much more school, she wouldn't graduate from her 4 quarter LPN program. We really need to do everything we can to sort this out.

                                                                 
Fri, 7 Oct 2016
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General & Family Physician 's  Response
Hi
Thanks for posting on HCM
Coxsackie also called hand-foot-and-mouth disease is a viral disease.It usually occurs in children but can also occur in adults.It may give you all the symptoms you just described and even more.
No specific treatment is available for this infection. Symptomatic treatment is given to provide relief from fever, aches, or pain from the mouth ulcers. I will suggest she tries the following:
-Take a pain/anti-pyretic drug like aceclofenac
-Drink enough water to prevent dehydration
-frequent hand washing especially after using toilet
-She may isolate herself again for symptoms to get over
-If skin discomfort too serious, she may take an anti-histamine like benadryl tablets or cream.
Hope this will help
Best regards
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What Causes Fever And Lesions On The Genitals?

Hi Thanks for posting on HCM Coxsackie also called hand-foot-and-mouth disease is a viral disease.It usually occurs in children but can also occur in adults.It may give you all the symptoms you just described and even more. No specific treatment is available for this infection. Symptomatic treatment is given to provide relief from fever, aches, or pain from the mouth ulcers. I will suggest she tries the following: -Take a pain/anti-pyretic drug like aceclofenac -Drink enough water to prevent dehydration -frequent hand washing especially after using toilet -She may isolate herself again for symptoms to get over -If skin discomfort too serious, she may take an anti-histamine like benadryl tablets or cream. Hope this will help Best regards