Gingivostomatitis (also known as primary or gingivostomatitis herpes orolabial herpes) is a combination of gingivitis and stomatitis, or inflammation of the oral and gingival mucosa. Herpes gingivostomatitis is often an early presentation during the first herpes simplex infection ("primary"). This is a greater severity of herpes labialis (cold sores) which is often the next presentation. Primary herpes gingivostomatitis is the most common viral infection in the mouth.
Primary herpes gingivostomatitis (PHGS) shows a clinically apparent pattern of herpes simplex virus (HSV) infection, as most other primary infections are asymptomatic. PHGS is mostly caused by HSV-1 and especially affects children. Prodromal symptoms, such as fever, anorexia, irritability, malaise and headaches, may occur before the disease. The disease has many pin-head vesicles, which rupture quickly to form painful irregular ulcers that are covered by a grayish yellow membrane. Sub-mandibular lymphadenitis, halitosis and refusal to drink are concurrent findings.
Video Herpetic gingivostomatitis
Symptoms
Symptoms can be mild or severe and may include:
- Can not chew or swallow
- Injuries on the inside of the cheeks or gums
- Fever
- General discomfort, anxiety, or feelings of discomfort
- A very sore mouth without the desire to eat
- Halitosis (bad breath)
Maps Herpetic gingivostomatitis
Diagnosis
Differential Diagnosis
Symptoms of gingivostomatitis in infants may be mistakenly dismissed as teething. "Incidentally, primary tooth eruption begins when the baby loses maternal antibody protection against herpes virus, and also reports of teething difficulties have recorded symptoms consistent with primary oral herpes infections such as fever, irritability, sleeplessness, and difficulty with eating. "" Younger babies with higher levels of antibodies will experience milder infections and this will be more likely to be unrecognized or dismissed as teething difficulties. "
Gingivostomatitis should also be distinguished from herpangina, another disease that often causes ulcers in the child's oral cavity, but is caused by the Coxsackie A virus rather than the herpes virus. In herpangina, ulcers are usually isolated to the soft palate and anterior pillar of the mouth. In gingivostomatitis herpes, lesions can be found at this site, but they are almost always accompanied by ulceration of the gums, lips, tongue or buccal mucosa and/or by hyperemia, hypertrophy or gum hemorrhage.
Treatment
Treatments include fluid intake, good oral hygiene and gentle debridement of the mouth, as well as oral acyclovir. In healthy individuals the lesions heal spontaneously within 7-14 days without scarring.
See also
- Acute necrotizing ulcerative gingivitis
References
External links
- Underlying Causes at wrongdiagnosis.com
- CDC Case Definition: Mercury (Elemental)
Source of the article : Wikipedia
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