Notes from the Field: Outbreak of Hand, Foot, and Mouth Disease Caused by Coxsackievirus A6 Among Basic Military Trainees - Texas, 2015

On July 7, 2015, a man aged 22 years reported to sick call during basic military training at Lackland Air Force Base (AFB), Texas. He had erythematous, crusted papulovesicular lesions on the extensor surfaces of the upper and lower extremities. The patient was afebrile and otherwise well, and was ev...

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Bibliographic Details
Published in:MMWR. Morbidity and mortality weekly report 2016-07, Vol.65 (26), p.678-680
Main Authors: Banta, Jonathan, Lenz, Brittany, Pawlak, Mary, Laskoski, Kelly, Seykora, Caitlin, Webber, Bryant, Yun, Heather, Ritchie, Simon
Format: Article
Language:English
Subjects:
Adolescent
Adult
Coxsackievirus Infections - complications
Disease Outbreaks
Female
Hand, Foot and Mouth Disease - diagnosis
Hand, Foot and Mouth Disease - epidemiology
Hand, Foot and Mouth Disease - virology
Humans
Male
Military Personnel - statistics & numerical data
Texas - epidemiology
Young Adult
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Summary:On July 7, 2015, a man aged 22 years reported to sick call during basic military training at Lackland Air Force Base (AFB), Texas. He had erythematous, crusted papulovesicular lesions on the extensor surfaces of the upper and lower extremities. The patient was afebrile and otherwise well, and was evaluated later that day by the dermatology service. A viral infection was considered most likely because of the patient's age, absence of fever or constitutional symptoms, and the distribution and morphology of the lesions. The initial differential diagnosis included Henoch-Schönlein purpura, parvovirus B19, and Rocky Mountain spotted fever. However, the clinical signs, including the unique morphology and distribution of grouped vesicles and papules was suggestive of hand, foot, and mouth disease (HFMD), although the patient did not have oral lesions and reported no contact with another person with HFMD. A viral culture and punch biopsy of one of the lesions were obtained.
ISSN:0149-2195
1545-861X
DOI:10.15585/mmwr.mm6526a3