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Coxsackie A virus is a subgroup of enterovirus A, which are small, non-enveloped, positive-sense, single-stranded RNA viruses. Its protective, icosahedral capsid has an external portion that contains sixty copies of viral proteins (VP1,-2,-3) and an internal portion surrounding the RNA genome containing sixty copies of VP4 viral proteins.
Usually, herpangina is produced by one particular strain of coxsackie virus A (and the term "herpangina virus" refers to coxsackievirus A), [1] but it can also be caused by coxsackievirus B or echoviruses. [2] Most cases of herpangina occur in the summer, [3] affecting mostly children. However, it occasionally occurs in adolescents and adults.
Other researchers found this interference can be mediated by a substance produced by the host animal, a protein now known as interferon. Interferon has since become prominent in the treatment of a variety of cancers and infectious diseases. In 2007, an outbreak of coxsackievirus occurred in eastern China. It has been reported that 22 children died.
RSV typically causes cold-like symptoms in adults, and can be as contagious as the common cold.
Hand, foot and mouth disease most commonly occurs in children under the age of 10 [4] [19] and more often under the age of 5, but it can also affect adults with varying symptoms. [20] It tends to occur in outbreaks during the spring, summer, and autumn seasons. [6] This is believed to be due to heat and humidity improving spread. [22]
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Coxsackie B infections usually do not cause serious disease, although for newborns in the first 1–2 weeks of life, Coxsackie B infections can easily be fatal. [2] The pancreas is a frequent target, which can cause pancreatitis. [2] Coxsackie B3 (CB3) infections are the most common enterovirus cause of myocarditis and sudden cardiac death. [8]