Herpes gingivostomatitis
Background
Clinical Features
Painful vesicular lesions of mucocutaneous areas
- Primary HSV-1 infection of lips, gingiva, and tongue
- Associated with fevers, irritability, and cervical adenopathy
- Lasts approx 2-4 weeks without treatment, course shortened with treatment
Differential Diagnosis
Herpes Simplex Virus-1
- Eczema herpeticum
- Herpes gingivostomatitis
- Herpes keratitis
- Herpes labialis (cold sore)
- Herpes simplex encephalitis
- Herpetic whitlow
Diagnosis
Management
- Acyclovir 40-80mg/kg PO divided in 3-4 doses for 5-7 days
PO intake is most important