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Published on: September 20, 2021
Herpes simplex virus infection: Management of primary oral lesions in children
Chaima Khalifa1,2, Afef Slim1,2, Garma Maroua1,2
1Department of Oral Medicine and Oral Surgery Dental Clinic of Monastir Monastir Tunisia.
Insights
Primary herpetic gingivostomatitis (PHGS), a common oral herpes simplex virus (HSV) infection in children, can present severely. This case highlights PHGS with herpetic whitlow in a 10-year-old.
Area of Science:
- Oral Medicine
- Pediatric Infectious Diseases
- Virology
Background:
- Primary herpetic gingivostomatitis (PHGS) is the most frequent clinical manifestation of initial herpes simplex virus (HSV) infection, predominantly affecting children.
- While most primary HSV infections are asymptomatic, PHGS can present with prodromal symptoms including fever, anorexia, irritability, malaise, and headache.
- Following resolution, HSV establishes latency in nervous ganglia.
Observation:
- This paper details a severe case of PHGS in a 10-year-old child.
- The case also involved herpetic whitlow, a painful HSV infection of the finger.
Findings:
- The study reports a severe presentation of PHGS co-occurring with herpetic whitlow.
- This case underscores the potential severity of primary HSV-1 infections in pediatric patients.
Implications:
- Recognizing severe PHGS and associated conditions like herpetic whitlow is crucial for timely diagnosis and management in children.
- Understanding the spectrum of primary HSV infections aids in pediatric healthcare.
- This case contributes to the literature on severe pediatric herpes simplex virus presentations.
Abstract:
Primary herpetic gingivostomatitis (PHGS) represents the most observed clinical feature of primary herpes infection with the simplex virus (HSV). It is often caused by HSV-1 and affects children most of the time. Unlike, the majority of primary HSV infections that is asymptomatic. It may be preceded by some prodromal symptoms like fever, anorexia, irritability, malaise, and headache. After the resolution of the primary infection, the virus remains latent in a nervous ganglion. The aim of the present paper was to report a case of severe PHGS with herpetic whitlow in a 10-year-old child.
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