Management of Acute (Primary) Herpetic Gingivostomatitis in Immunocompetent Adult Patient: A Case Report

DOI

10.2991/idcsu-17.2018.9How to use a DOI?

Keywords

Acute (primary) herpetic gingivostomatitis, immunocompetent, adult

Abstract

Acute (primary) herpetic gingivostomatitis (AHGS) is the most common form of HSV-1 infection in the oral cavity. These infections are reported mostly in children, usually localized and asymptomatic but in adult patients and immunocompromised conditions tend to be more severe, last longer, and can lead to systemic viremia. Case: A 46-year-old male patient came to RSGM FKG UI with a complaint of painful sore mouth, especially on the tongue since 5 days ago with previous history of fever. Patients feel pain around the head and while swallowing. On the examination, there were multiple ulcers at the gingival margin, interdental papillae, mucobuccofold, lateral of tongue, and also marginal gingivitis. Based on anamnesis, clinical and laboratory examination, he was diagnosed with AHGS. Case Management: He was prescribed chlorhexidine gluconate 0.2% mouthwash and multivitamin. He was advised to increase fluid intake, nutritious food, adequate rest to minimize the duration and the severity of symptoms. He was also instructed to improve the oral hygiene and encouraged to restrict direct contact to prevent transmission. Complete healing was seen in the next visit. Conclusion: Acute (primary) herpetic gingivostomatitis can be found in all age groups, including adult and elders. Clinical features of multiple ulcers and erythematous of gingival margins can be a pathognomonic sign of this condition. Primary HSV-1 infection usually manifests in the oral cavity so it is important for the dentist to recognize the disease to prevent misdiagnosis and provide appropriate management to the patient.

Copyright

© 2018, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Andi Anggun Mauliana Putri
AU  - Febrina Rahmayanti
PY  - 2018/02
DA  - 2018/02
TI  - Management of Acute (Primary) Herpetic Gingivostomatitis in Immunocompetent Adult Patient: A Case Report
BT  - Proceedings of the International Dental Conference of Sumatera Utara 2017 (IDCSU 2017)
PB  - Atlantis Press
SP  - 30
EP  - 33
SN  - 2468-5739
UR  - https://doi.org/10.2991/idcsu-17.2018.9
DO  - 10.2991/idcsu-17.2018.9
ID  - AnggunMaulianaPutri2018/02
ER  -