bÙi nguyỄn Đoan thƯbenhviennhi.org.vn/upload/files/acyclovir in the... · 2017-11-23 ·...
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BÙI NGUYỄN ĐOAN THƯ
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Gingivo-stomatitis : ulcerative lesions of the
gingiva and mucous membranes of the mouth.
Primary herpetic gingivostomatitis :
commonly seen (85%), typically occurs in
children between six months and five years of
age, but it can occur in older children and
adolescents.
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Gingivostomatitis may occur because of:
Herpes simplex virus type 1 (HSV-1)
Coxsackievirus
Enterovirus 71
Certain bacteria (Streptococcus, Actinomyces)
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Fever – 4.4 days (range 0 to 8 days)
Oral lesions – 12 days (range 7 to 18)
Extraoral lesions – 12 days (range 0 to 19)
Eating difficulty – 9.1 days (range 4 to 17)
Drinking difficulty – 7.1 days (no range
provided)
Drooling – 6.6 days (range 0 to 13)
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Clinically, based upon the typical appearance
and location of oral and extraoral lesions
In cases where it is necessary to confirm an
etiologic diagnosis, herpes simplex virus type
1 (HSV-1) can be diagnosed with viral culture,
serology, immunofluorescence, or polymerase
chain reaction.
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Herpangina
Hand, foot, and mouth disease
Oral candidiasis
Aphthous ulcers
Stevens-Johnson syndrome
Behçet syndrome
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Fluid intake
Pain control : Acetaminophen, Ibuprofen
Topical therapies : "Magic mouthwash"
consists of various combinations of
diphenhydramine, magnesia-alumina
(Maalox), Kaolin pectin (Kaopectate), and/or
viscous lidocaine
Oral Acyclovir
Antibiotic : not routine
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INDICATION :
Immuno-competent children with herpetic
gingivostomatitis
Within 72 to 96 hours of disease onset
Unable to drink or have significant pain
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