Health professional warns of child skin infection

Signs of a coxsackie infection
Signs of a coxsackie infection

Although there are no severe cases of a skin infection detected in Dominica last week, health officials here are warning parents to be on the look out.

Chief medical officer, Dr. David Johnson, said officials have observed a few children from different parts of the island coming down with a skin infection which looks like rash.

“Sometime they present with fever and sometimes they present with lesions in the mouth,” he stated.

He said based on clinical diagnosis health officials believe it is a disease spread by the Coxsackie virus, which he explains is transmitted through contact.

“So if  a child has it and he gets into contact with another child, and sometimes with adults, that disease can spread,” he noted.

He explained the disease normally last for five to seven days and no severe cases have been detected in Dominica.

He further noted that local officials are awaiting a confirmation from a regional lab in Trinidad on the disease.

“Generally for these virus infections we always take samples and send to our reference lab in Trinidad…” he stated.

Dr. Johnson is calling on parents to take their children to a health professional if symptoms of the disease are noticed.

“In the meantime what we are encouraging parents to do is if you child is presenting with these sort of skin infection to keep the child away from school until such time the lesions are healed and certainly to see you health care provider, so that the disease can be managed properly,” he noted.

He also explained that although the disease is viral, sometimes secondary infections develop through bacteria. “And that is when it could be severe in terms of it is complicated … the child would need some sort of antibiotics,” Dr. David said.


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  1. MD/Parent
    December 16, 2013

    This appear to be hand, foot and mouth disease. Yes caused by the coxsackie virus. Like a lot of viruses it is self limiting. Meaning if nothing is done it should be better in less than a week. No antibiotics are required within that period. Antibiotics do not treat viruses.

    To answer, Anonymous’ question, because it is self limited and anti-viral medications are really not very effective with potential side effects, the recommendation is to only address the symptoms and wait it out.

    Copy this link into your browser for basic facts on hand foot and mouth disease:

  2. joy
    December 16, 2013

    this is hand, foot and mouth. it spreads rather quickly in young children especially among those in day care and preschools, so please if your child has it keep them home.

  3. cast the first rock
    December 16, 2013

    Yep…cocksacki or hand, foot and mouth. The thrush does not always come with the pin like lesions under the feet and in the palms of the hands…very itchy.

    Found that baking soda in warm water helped the itch for daughter who contracted it.Not sure if from day care or just being in exposed places

  4. Red Hot
    December 16, 2013

    Well it looks like we will have to keep our children at home for the season. Cause this thing is spreading mainly at day cares and it can be passed on to the rest of the family as well.

    • cast the first rock
      December 17, 2013

      It’s viral-hard to keep away from too many places. Imagine sitting at the doctors with the virus? Or in church? or at the stores…just exercise a lot of caution…washing hands carefully and often; having day cares wash toys. I notice this is a practice many of them do not do on a daily basis. Toys should be gathered up and disinfected at the end of each day because our children put them in mouths, etc. The counters etc. need to be kept clean and children should be discouraged from sharing stuff at day cares.

  5. Krazy
    December 16, 2013

    i fraid those daycares, so many virus passes around in those places and not much cleaning is done… hmmm best place is to keep the kids home, but i understand that its difficult for some workin mums and dad… anyway hope its nothing too serious

  6. jjgwad
    December 16, 2013

    My son had dat last months and we live in Guadeloupe
    He had a sore in his mouth and couple littke bottons
    I went to the doctor with he got m├ędication and he all good now

  7. Hmm
    December 16, 2013

    Hand ,foot and mouth disease ????????

  8. hope
    December 16, 2013

    Thank you for the heads up … much appreciated

  9. Anonymous
    December 16, 2013

    This looks like the Hand, Foot, and mouth disease.

    • hisan
      December 16, 2013

      hand, foot and mouth… is the very same Coxsackie virus

  10. Anonymous
    December 16, 2013

    8-O So the antibiotics are for the secondary infections cause by the viral infection, what is the treatment for the virus itself?

    • Dr
      December 16, 2013

      Viral infections cannot be treated with antibiotics. In the case of Coxsackie a specific treatment does not exist therefore the symptomatic approach is used wherein each symptom presented will we treated accordingly.

  11. wortless
    December 16, 2013

    My daughter is 1yr 5mths she has that same thing on her feet and thrush like in her mouth. She goes to daycare, could be spread from there as well. Took her to a dr right now shes on a 1wk antibiotics.

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