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, gingiva (gums), palate and lips.
  • The papillae of the tongue become inflamed and appear as white spots, which is associated with severe burning pain.
  • Severe feeling of illness with fever (with hyperthermic facial flushing/face erythema).
  • Dysphagia (dysphagia)
  • Local lymphadenopathy (lymph node enlargement).
  • Gingivitis (inflammation of the gums)
  • Stomatitis (inflammation of the oral mucosa)
  • Pharyngitis (pharyngitis)

Secondary symptoms

  • Hypersalivation (synonyms: sialorrhea, sialorrhea or ptyalism) – increased salivation.
  • Halitosis (bad breath)
  • Pain when speaking
  • Disturbances in the intake of food and fluids