Primary Herpetic Gingivostomatitis
Primary Herpetic Gingivostomatitis is caused primarily by herpes simplex virus type 1. The primary infection is most severe and usually seen in children younger than 6. The clinical syndrome of HSV gingivostomatitis lasts 10-14 days. Diagnosis is usually based on clinical history and exam findings.
Clinical presentation includes:
- Fever and malaise (precede the anorexia, oral findings, and
- Significant lip and gum swelling, erythema, and bleeding
- Vesicles on the lips, tongue, and cheeks, which then ulcerate
Treatment for Primary Herpetic Gingivostomatitis
Treatment is mainly supportive with hydration maintenance and pain control. The acyclovir family of antiviral medications may be used for immunosuppressed patients. The infection is life-long, and recurrences occur as â€œcold soresâ€� (herpes labialis), usually at times of stress or infection.
Coxsackie Viral Infections
Coxsackie viral infections include Herpangina and Hand-Foot-Mouth Disease. Fever, malaise, sore throat, and anorexia precede appearance of the vesicles. Cervical lymphadenopathy is also present. Symptoms last 7-10 days. Treatment is supportive care.