Atypical hand, foot, and mouth disease caused by Coxsackievirus A6 in Argentina in 2015

Abstract

We present two groups of cases of atypical hand, foot, and mouth disease (HFMD) caused by Coxsackievirus A6 (CV-A6) detected in Argentina in 2015. The first group involved 14 patients from Chubut province and the second group affected 12 patients from San Luis province. Molecular analysis of the complete VP1 protein gene revealed the circulation of E2 sublineage, the most predominant worldwide. To our knowledge, this is the first report of CV-A6 infections associated with atypical HFMD in Argentina and South America.

Keywords: Atypical hand, foot, and mouth disease; Coxsackievirus A6; Enfermedad de mano-pie-boca atípica; Enterovirus; Virus Coxsackie A6.