Acute herpetic gingivostomatitis in adult patients

[摘要] Introduction: Herpetic gingivostomatitis is an infection caused by herpes simplex virus,which affects mainly children patients, being uncommon this manifestation inadults. It initially appears with prodromal signs and then local signs showup. The treatment for this disease is only supportive, because there is alreadya peak of viral replication when it was diagnosed. Objectives: To report a case of herpetic gingivostomatitis and to discuss its clinicalcharacteristics and treatment. Case report: The patient looked for clinic care for presenting painful oral lesionswith little time of evolution. With no medical history, the patient reportedusing antibiotics and antifungals. Oroscopy showed multiple coalescing ulcerativelesions affecting the gum tissue, tongue, lips and hard palate. It has beendiagnosed clinically as herpetic gingivostomatitis and has been treated withsupportive treatment (analgesics, topical anesthetic and chlorhexidine digluconate0,12 %). The patient returned after one week with improvement of the condition. Conclusion: The correct diagnosis, through the evident clinical manifestations, preventsthe indiscriminate use of antibiotics, leading to better response of the patient.

[学科分类] 基础医学

[关键词] herpes simplex virus;herpetic gingivostomatitis;oral diagnosis.