• Infectious Crimea-Congo, West Nile or dengue, the other emerging viruses that threaten us

Just when we are not still facing successive waves of Covid-19 and outbreaks of other diseases - hepatitis of unknown origin in children, monkey pox, outbreaks of polio and nipha, among others - a

new virus known as 'tomato flu' or ' Tomato fever'

has emerged in

India

in the state of Kerala, mainly affecting

children under 5 years of age

, according to The Lancet Respiratory Medicine, where it is indicated that it is a self-limited disease, there is no specific drug to treat it.

This rare viral infection is in an

endemic state

and is considered

not life-threatening

.

But the serious history with Covid-19 makes it necessary to maintain

vigilant management

to avoid new outbreaks, point out the study's authors,

Vivek P Chavda

and

Kaushika Patel

, from the Department of Pharmacy and Pharmaceutical Technology, College of Pharmacy of Gujarat, in India. .

Although the 'tomato flu' virus shows

symptoms similar to those of Covid-19

(both are initially associated with fever, fatigue and body aches, and some covid-19 patients also report skin rashes), the virus does not It is related to SARS-CoV-2.

The 'tomato flu' "could be a

secondary effect of chikungunya or dengue fever

in children rather than a viral infection. The virus could also be a new variant of viral

hand, foot and mouth disease,

a disease common infectious disease that primarily affects children aged 1 to 5 years and immunocompromised adults. Some case studies have even shown hand-foot-and-mouth disease in immunocompetent adults."

Tomato flu was first identified in the

Kollam district of Kerala on May 6, 2022

, and as of July 26, 2022, local government hospitals have reported

more than 82 children under the age of 5 with the infection

,

highly contagious

.

At the moment it is known that this 'tomato flu' is eliminated by the body of minors.

It can also be

assimilated with monkeypox or monkeypox

, a disease that has been recorded in several countries on all continents.

Although it is not fatal, it can also cause complications and many discomforts in those who suffer from it.

Similar manifestations

The

main symptoms

of 'tomato infection' seen in affected children are

similar to those of chikungunya

, including high fever, skin rashes and severe joint pain.

Tomato flu got its name from the rash of

red, painful blisters

all over the body that gradually increase to the

size of a tomato

.

These blisters resemble those seen with monkeypox virus in young individuals.

Skin rashes

also appear

with tomato flu causing skin irritation.

As with other viral infections, other symptoms include

fatigue, nausea, vomiting, diarrhea, fever, dehydration,

joint swelling, body aches,

and symptoms similar to

influenza

and even

dengue fever

.

In children with these symptoms,

molecular and serological tests

are performed to diagnose dengue, chikungunya, Zika virus, varicella-zoster virus, and herpes;

once these viral infections have been ruled out, contraction of the tomato virus is confirmed.

Because 'tomato flu' is similar to chikungunya and dengue, as well as hand, foot and mouth disease,

treatment

is also similar, i.e. isolation, rest, plenty of fluids and a sponge of water hot to relieve irritation and rashes.

Paracetamol supportive

therapy for fever and

body aches and other symptomatic treatment is required.

Children

are at higher risk of exposure

, as viral infections are common in this age group and are likely to spread through

close contact

.

Young children are also prone to this infection by wearing diapers, touching dirty surfaces, and putting things directly in their mouths.

"Given the similarities to hand, foot, and mouth disease, if the 'tomato flu' outbreak in children is not

controlled and prevented

, transmission could have serious consequences by

spreading to adults as well

," the researchers warn.

Like other types of influenza, the 'tomato flu' is highly contagious.

Therefore, careful

isolation of confirmed or suspected cases

and other precautionary measures are mandatory to prevent the outbreak from Kerala to other parts of India.

"

Isolation should be followed for 5 to 7 days

from the onset of symptoms to prevent the spread of infection to other children or adults. The best solution for

prevention

is the maintenance of adequate hygiene and disinfection of the necessities and the surrounding environment, as well as preventing the

infected child from sharing

toys, clothing, food, or other items with other uninfected children.

Finally, the authors of this report reflect and point out that the reuse of

medicines and vaccination

are the most effective and cost-effective approaches to guarantee

public health safety

against viral infections, especially in children, the elderly, immunosuppressed people and those with underlying health problems.

"To date, there are no vaccines or antiviral drugs available for the treatment or prevention of 'tomato flu.'

More follow-up and monitoring of outcomes and serious sequelae

is needed to better understand the need for potential treatments."

Conforms to The Trust Project criteria

Know more

  • India

  • Flu

  • Hepatitis

  • Infectious diseases