J Korean Assoc Maxillofac Plast Reconstr Surg.
2011 Jan;33(1):89-92.
Recurrent Herpes-Stomatitis Mimicking Acute Necrotizing Ulcerative Gingivitis
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, Gangneung Asan Hospital, College of Medicine, Ulsan University, Korea.
- 2Department of Oral Pathology, College of Dentistry, Gangneung-Wonju National University, Korea.
- 3Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Korea. ywpark@gwnu.ac.kr
Abstract
- Herpes simplex is caused by viruses of the herpesvirus hominus family. HSV have four categories: type 1, 2, 6, and 8. Generally HSV-1 affects the mouth. Once infected by HSV, the person's infection is permanent. Retrograde transport through adjacent neural tissue to sensory ganglia leads to a lifelong latent infection. Recently, we treated a patient with recurrent herpes-stomatitis mimicking acute necrotizing ulcerative gingivitis (ANUG). The results were satisfactorty so we report this case. 31 years old male patient showed sore throat, gingival ulceration, palpable both submandibular lymph node, and sulcular pus formation around posterior decayed teeth. This is the third time he has suffered from this symptom. Tentative diagnosis was acute necrotizing ulcerative gingivitis. Antibiotic therapy was started. But, intraoral symptom got worse in process of time. Especially ulcer of marginal gingiva got worse. Viral disease was suspected. We carried out viral cultivation. At the same time topical application of antiviral ointment (herpecid(R)) was performed on oral ulcer unilaterally for the purpose of diagnosis and reducing pain experimentally. The next day pain was decreased dramatically on application area. Basing on the viral cultivation and clinical effect of antiviral ointment (herpecid(R)), we have diagnosed it as a recurrent herpes-stomatitis and concluded that viral infection was major cause of disease and bacterial infection was secondary.
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