Background
- Primary HSV-1 infection of lips, gingiva, and tongue
- HSV-2 associated with genital disease
- Usually occurs in childhood[1]
- 90% of population is seropositive by age 40[1]
Herpes gingivostomatitis of mouth
Clinical Features
- Prodrome of fever, myalgias, and cervical adenopathy[2]
- Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)
- Can be extremely painful and → odynophagia
- Lasts approx 1-4 weeks without treatment, course shortened with treatment
Differential Diagnosis
Diagnostic Evaluation
- Clinical diagnosis, based on history and physical exam
- Available laboratory studies (not required for diagnosis)[2]:
- Viral culture (gold standard)
- Direct immunofluorescence
- Tzanck smear (poor specificity)
Management
{Template:HSV-1 treatment
- Analgesia (e.g. Acetaminophen and/or Ibuprofen)
- PO intake is important
- Consider viscous lidocaine before meals[1]
Disposition
See Also
External Links
References
- ↑ 1.0 1.1 1.2 George AK, Anil S. Acute Herpetic Gingivostomatitis Associated with Herpes Simplex Virus 2: Report of a Case. Journal of International Oral Health : JIOH. 2014;6(3):99-102.
- ↑ 2.0 2.1 Mohan RPS, Verma S, Singh U, Agarwal N. Acute primary herpetic gingivostomatitis. BMJ Case Reports. 2013;2013:bcr2013200074. doi:10.1136/bcr-2013-200074.
