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Skin infections
Published in Rashmi Sarkar, Anupam Das, Sumit Sethi, Concise Dermatology, 2021
Shankila Mittal, Rashmi Sarkar
Herpetic gingivostomatitis: Commonly, the lesions occur around the mouth or on the lip. They start as grouped, tender and/or painful papules or papulovesicles (Figure 3.20) and then coalesce to form a crusted erosion. The sequence takes about 7–14 days from initial discomfort to the final pink macule, marking where lesions have been. The initial infection may be quite unpleasant, with severe stomatitis, systemic upset and pyrexia. Resolution takes place in about 10 days. Reactivation of the herpes infection occurs in some cases, at varying intervals. Up to 20% of the population develops recurrent ‘cold sores’, so named because the disorder is often precipitated by minor pyrexial episodes.
Primary Herpes Simplex Gingivostomatitis and Recurrent Orolabial Infection
Published in Marie Studahl, Paola Cinque, Tomas Bergström, Herpes Simplex Viruses, 2017
Patients with herpetic gingivostomatitis present with fever, fetor oris, irritability and painful oral vesicular lesions on the gingival and bucal mucosa and on the tongue and hard palate. The vesicles rapidly rupture to become shallow ulcers and persist for a mean of 12 days (range 7–18 days) (26). The lesions are located only on the oral mucosa and tongue in approximately a quarter of the children; and on the gums in about three-fourth of cases (Fig. 1A, B). The gums are usually edematous and frequently bleed on contact. Extraoral lesions around the mouth (lips, cheeks, and chin) are found in approximately two-thirds of affected children at day four (26). Whitlows are seen in children that auto-inoculate their fingers.
Oral Problems Associated with Gastrointestinal Disease
Published in John F. Pohl, Christopher Jolley, Daniel Gelfond, Pediatric Gastroenterology, 2014
Primary herpetic gingivostomatitis is self-limiting and only supportive care consisting of hydration, nutrition, antipyretics, and antibiotics for secondary infections is recommended. Immunocompromised patients warrant acyclovir therapy.
Molecular subgroup of periodontitis revealed by integrated analysis of the microbiome and metabolome in a cross-sectional observational study
Published in Journal of Oral Microbiology, 2021
Hee Sam Na, Suhkmann Kim, Seonghye Kim, Yeuni Yu, Si Yeong Kim, Hyun-Joo Kim, Ju Youn Lee, Jae-Hyung Lee, Jin Chung
A total of 112 subjects was recruited in the current study. These included 79 patients with PT and 33 subjects defined as healthy. The subjects were recruited at the Department of Periodontics of Pusan National University Dental Hospital, Yangsan, South Korea. In general, we enrolled individuals who were not pregnant or breastfeeding, had no systemic diseases that may affect the periodontal status, and had not received antibiotics in the last 6 months or undergone periodontal therapy (scaling and root planning) in the last 3 months. Exclusion criteria included the use of anti-inflammatory drugs, acute infection (e.g. herpetic gingivostomatitis), chronic mucosal lesion (e.g. pemphigus and pemphigoid) of the oral cavity, and a current status of smoking.