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Pregnancy boston

17.10.2022

2 mins of reading

Kinga Żebrowska

Graduate of Warsaw Medical University

Boston fever belongs to the group of infectious diseases of childhood. Getting it from a pregnant woman in the first trimester can lead to serious complications. How can you get infected with boston disease and what are its symptoms?

Boston fever in pregnancy-what is it?

Popularly referred to as boston disease, hand foot and mouth disease (HFMS) is a viral infectious disease. It is caused by enteroviruses, among others. Coxackie A. Infection occurs by the droplet route. Pregnant women most often become infected from their children, who are of pre-school age. Moms-to-be who work in nurseries or daycare centers are also more likely to get boston disease. The incubation period of the disease ranges from 3 to 5 days. A sick person infects others at all times when skin lesions are present. The fever usually subsides after 48 hours, and the skin lesions persist for about 7-10 days. On the other hand, nail lesions take much longer to heal.

Boston fever in pregnancy- symptoms

As the name of the disease suggests, it affects the hands, feet and mouth. The typical symptom is a rash that appears on the tongue, palate and mucous membranes of the cheeks, as well as the palmar surfaces of the hands and on the feet. The skin lesions are painful, but not itchy. Most often they appear 2 days after the fever. After a few weeks after the first symptoms appear, nail plate changes may develop in the form of so-called “nail changes. Beau line, as well as the characteristic peeling of the skin of the hands and feet. Some patients also develop symptoms related to the digestive and respiratory systems. Sometimes boston disease is accompanied by herpangina, due to the same etiology of the disease.

Boston fever in pregnancy-is it dangerous?

Boston fever in pregnancy can carry complications. The most dangerous is to experience hand foot and mouth disease in the first trimester of pregnancy. It can cause birth defects and even miscarriage. The more advanced the pregnancy, the lower the risk of complications. If the infection occurs before the birth itself, the disease can occur in the newborn. Most often, however, the course of boston disease is asymptomatic in the youngest.

Boston fever in pregnancy- treatment

The treatment of bostonia is only symptomatic. Paracetamol can be used for fever in pregnancy. If the lesions in the mouth are painful, hot and acidic meals should be avoided, which further irritate the affected mucosa. Rest is also recommended.

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