Abstract
Background: Acute primary herpetic gingivostomatitis is the symptomatic presentation of the initial exposure to the herpes simplex virus 1 (HSV-1). The clinical condition of acute primary herpetic gingivostomatitis is characterized by a prodromal of fever followed by an eruption of painful, ulcerative lesions of the gingiva and mucosa, and often, perioral, vesicular lesions. Purpose: The case reported management of acute primary herpetic gingiva-stomatitis in a 6 years old boy. Case: A 6-year-old boy with complaints of difficulty eating or drinking due to pain associated with multiple ulcers in the oral cavity and lips. Patient have been living in boarding school since 6 months ago and was complained of stomatitis which have occurred 4 days ago followed by fever and malaise. Case Management: The patient was instructed to eat nutritious (high calorie and protein diet), soft, blend diet and the following medications were prescribed: (1) antiviral drug (Acyclovir® tablet 200mg) for four times a day; (2) topical hyaluronic acid gel (Aloclair® gel 8ml) to be applied on lesions; (3) mouthwash containing benzydamine hydrochloride (Tantum Verde® 15ml) for three times a day; and (4) multivitamin syrup for three times a day. Conclusion: The case reported that the drugs treatment was used according to the severity of HSV-1 infection and patient’s symptoms of acute primary herpetic gingiva-stomatitis. Providing supportive care and educating about transmission of the virus are important aspects of nursing care.
Highlights
Acute primary herpetic gingivostomatitis is the symptomatic presentation of the initial exposure to the herpes simplex virus 1 (HSV-1).[1]
The clinical condition of acute primary herpetic gingivostomatitis is characterized by a prodromal of fever followed by an eruption of painful, ulcerative lesions of the gingiva and mucosa, and often, perioral, vesicular lesions.[2]
The age of primary herpetic gingivostomatitis can occur twice, namely the first onset occurs in children aged between 6 months to 6 years and the second onset occurs in the early age of 20 or adult.[1,3]
Summary
Acute primary herpetic gingivostomatitis is the symptomatic presentation of the initial exposure to the herpes simplex virus 1 (HSV-1).[1] The clinical condition of acute primary herpetic gingivostomatitis is characterized by a prodromal of fever followed by an eruption of painful, ulcerative lesions of the gingiva and mucosa, and often, perioral, vesicular lesions.[2] The age of primary herpetic gingivostomatitis can occur twice, namely the first onset occurs in children aged between 6 months to 6 years and the second onset occurs in the early age of 20 or adult.[1,3]. The initial infection in the majority of patients is subclinical; up to 30 % of children develop acute gingivostomatitis. It develops approximately 1 week after initial contact with an infected, often asymptomatic child or adult.[1] Asymptomatic primary infection are thought to occur in cases in which herpes simplex virus causes minimal epithelial cell destruction through replication. Patient profile (Figure 1 and 2) for the first visit
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