Coxsackie A6: "newer" to the U.S. Is coxsackie a6, which can cause a more serious hand-foot-mouth illness (more widespread rash with bigger symptoms). Cases have been seen in alabama, connecticut, california, nevada, etc... A normal person should be immune to one strain of coxsackie after an illness, but there are quite a few other strains of these "enteroviruses" that can cause hand-foot-mouth symptoms.
Answered 10/16/2017
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