Gingivostomatitis Herpetica

Oral Thrush (Gingivostomatitis Herpetica): Drug Therapy

Therapeutic targets Alleviation of symptoms Avoidance of complications Therapy recommendations Symptomatic therapy (antipyretics/antipyretic drugs if necessary: suppositories, juice, or tablets). The oral mucosa as well as the lips are treated locally with antiseptic, antiphlogistic (anti-inflammatory) as well as analgesic (analgesic) therapeutics. Also local anesthetic (“local anesthetic”) gels such as Dynexan and solutions such as Xylocaine … Oral Thrush (Gingivostomatitis Herpetica): Drug Therapy

Oral Thrush (Gingivostomatitis Herpetica): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate gingivostomatitis herpetica (“oral thrush”; herpes simplex virus type 1 (HSV-1)): Main symptoms Aphthous (milky to yellowish spots surrounded by a red halo; they are usually roundish or oval and usually no larger than a lens), erosive-ulcerative (forming ulcers) foci. They are found on the edge of the tongue, … Oral Thrush (Gingivostomatitis Herpetica): Symptoms, Complaints, Signs

Oral Thrush (Gingivostomatitis Herpetica): Causes

Pathogenesis (development of disease) Herpes simplex virus type 1 replicates (multiplies) locally in mucosal cells. It then invades the nerve cell processes and from there into the corresponding ganglion (cluster of nerve cell bodies in the peripheral nervous system), where it remains dormant until reactivated by various stressors. Etiology (causes) Behavioral causes Close physical contact … Oral Thrush (Gingivostomatitis Herpetica): Causes

Oral Thrush (Gingivostomatitis Herpetica): Therapy

General measures Observance of the general hygiene measures! In the occurrence of fever: Bed rest and physical rest (even with only a slight fever). Fever below 38.5 °C does not necessarily need to be treated! (Exceptions: Children prone to febrile convulsions; old, weakened people; patients with a weakened immune system). In case of fever from … Oral Thrush (Gingivostomatitis Herpetica): Therapy

Oral Thrush (Gingivostomatitis Herpetica): Complications

The following are the most important diseases or complications that can be caused by gingivostomatitis herpetica (“oral thrush”): Eyes and eye appendages (H00-H59). Keratitis dentritica/-disciformis – inflammation of the cornea and conjunctiva of the eyes. Endocrine, nutritional and metabolic diseases (E00-E90). Dehydration (lack of fluid). Malnutrition Psyche – nervous system (F00-F99; G00-G99) Encephalitis (inflammation of … Oral Thrush (Gingivostomatitis Herpetica): Complications

Oral Thrush (Gingivostomatitis Herpetica): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes, oral cavity, pharynx (throat) [gingivitis (inflammation of the gums), stomatitis (inflammation of the oral mucosa), pharyngitis (inflammation of the throat)] Leading symptoms of … Oral Thrush (Gingivostomatitis Herpetica): Examination

Oral Thrush (Gingivostomatitis Herpetica): Medical History

Medical history (history of illness) represents an important component in the diagnosis of gingivostomatitis herpetica (“oral thrush“). Family history What is the general health status of your relatives? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed … Oral Thrush (Gingivostomatitis Herpetica): Medical History

Oral Thrush (Gingivostomatitis Herpetica): Or something else? Differential Diagnosis

Blood, blood-forming organs-immune system (D50-D90). Agranulocytosis – reduction in the number of granulocytes/subgroup of white blood cells. Iron deficiency anemia – form of anemia (anemia) caused by the lack of iron. Endocrine, nutritional and metabolic diseases (E00-E90). Folic acid deficiency Vitamin B12 deficiency Skin and subcutaneous tissue (L00-L99) Bullous erythema exsudativum multiforme (synonym: dermatostomatitis Baader, … Oral Thrush (Gingivostomatitis Herpetica): Or something else? Differential Diagnosis