system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 2-year-old boy is brought to the pediatrician with complaints of fever and a skin rash for the past 2 days. The boy was born by normal vaginal delivery at full term, and his neonatal period was uneventful. He has a history of severe pain in his legs and difficulty eating. His temperature is 38.6°C (101.4°F), pulse is 102/min, and respiratory rate is 22/min. Physical examination shows multiple papules on the hands, feet, and trunk. His neurologic examination shows decreased muscle strength in the lower limbs. On intraoral examination, multiple reddish 2 mm macules are present on the hard palate. Which of the following is the most likely causal organism?
assistant
Coxsackievirus