Herpes Simplex Flashcards
What issue?
(a) Defined as an initial exposure to virus in nonimmune person.
(b) Can be asymptomatic or cause selflimiting gingivostomatitis in immunocompetent hosts
(c) Can affect all of oral mucosa, including inner surface of lips, buccal mucosa, ventral surface of tongue, and floor of mouth
(d) More severe and lasts longer than recurrence
Orolabial Herpes Presentation
Primary infection
What issue?
(a) non-primary disease, or relapsing disease
(b) Usually affects vermillion border of lips or mucosa of hard palate and is less severe than primary infection.
(c) Recurrent infection rare with herpes simplex virus type 2 (HSV-2)
(d) Recurrences may be precipitated by stress, sun, illness, fatigue, dental work, local trauma, menstruation, pregnancy, and immunodeficiency.
Orolabial Herpes
Recurrent Infections
Recurrent episodes occur in older children and adults, frequently with a prodrome of _____________________________ followed by papulovesicular lesions (“cold sores”) on the lip or vermilion border.
perioral tingling, itching, numbness, pain, or burning
HSV-1 Treatment
(1) Pt education
(2) Symptomatic treatment includes analgesics and adequate hydration.
(3) Antiviral treatment is typically not required by many patients due to self-limited nature of disease.
(4) Oral antiviral therapy
**Acyclovir 400 mg PO 5x / day for 5 days
What issue?
Localized infection of affected finger with intense itching and pain, followed by vesicles that may coalesce with swelling and erythema. Mimics pyogenic paronychia; neuralgia and axillary adenopathy are possible; heals in 2 to 3 weeks.
Herpetic whitlow
What issue
Diffuse pox-like eruption complicating atopic dermatitis; sudden appearance of lesions in typical atopic areas (upper trunk, neck, head); high fever, localized edema, adenopathy
Eczema herpeticum
Complications herpes simplex
(1) Pyoderma
(2) Eczema Herpeticum
(3) Herpetic Whitlow
(4) Ocular Keratitis
