Dantas MHD, Sarmento PP, Candeia LT, Nicolau FVY, Ferreti BPR

Language: English
References: 10
Page: 1-6
PDF size: 92.17 Kb.

ABSTRACT

Introduction: Herpetic gingivostomatitis is an infection caused by herpes simplex virus, which affects mainly children patients, being uncommon this manifestation in adults. It initially appears with prodromal signs and then local signs show up. The treatment for this disease is only supportive, because there is already a peak of viral replication when it was diagnosed.
Objectives: To report a case of herpetic gingivostomatitis and to discuss its clinical characteristics and treatment.
Case report: The patient looked for clinic care for presenting painful oral lesions with little time of evolution. With no medical history, the patient reported using antibiotics and antifungals. Oroscopy showed multiple coalescing ulcerative lesions affecting the gum tissue, tongue, lips and hard palate. It has been diagnosed clinically as herpetic gingivostomatitis and has been treated with supportive treatment (analgesics, topical anesthetic and chlorhexidine digluconate 0,12 %). The patient returned after one week with improvement of the condition.
Conclusion: The correct diagnosis, through the evident clinical manifestations, prevents the indiscriminate use of antibiotics, leading to better response of the patient.

REFERENCES

1. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology, 4th ed. Rio de Janeiro: Saunders Elsevier; 2016.

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: 99.

3. Santos MPDM, Morais MPLDA, Fonseca DDD, Faria ABSD, Silva IHM, Carvalho AA, et al. Herpesvírus humano: tipos, manifestações orais e tratamento. Odontologia Clínico-Científica. 2012;11:191-6. Access: 14/07/2017. Available from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677- 38882012000300004

4. Ajar AH, Chauvin PJ. Acute herpetic gingivostomatitis in adults: a review of 13 cases, including diagnosis and management. Journal-Canadian Dental Association. 2002;68:247-51.

5. Narendra SK, Sahani NC, Moharana DN. Manifestations of Acute Herpetic Gingivostomatitis in Human Immunodeficiency Virus: Positive Patients. Journal of International Oral Health. 2016;8:460.

6. Balasubramaniam R, Kuperstein AS, Stoopler ET. Update on Oral Herpes Virus Infections. Dental Clinics of North America. 2014 Apr 1;58(2):265-80.

7. Goldman RD. Acyclovir for herpetic gingivostomatitis in children. Can Fam Physician. 2016 May;62(5):403-4.

8. Geller M, Neto MS, Ribeiro MG, Oliveira L, Naliato EC, Abreu C, et al. Herpes simples: atualização clínica, epidemiológica e terapêutica. Jornal Brasileiro de Doenças Sexualmente Transmissíveis. 2012;24:260-6.

9. Regezi JA, Sciubba JJ, Jordan RC. Oral pathology: clinical pathologic correlations. 6th ed, Rio de Janeiro: Saunders Elsevier; 2013.

10. Mohan RPS, Verma S, Singh U, Agarwal N. Acute primary herpetic gingivostomatitis. BMJ Case Rep. 2013 Jul 8;2013. Access: 14/07/2017. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736476/