ORAL PRIMARY HERPES

Question 1

Definition of oral herpes

Answer 1

common, mild, self-limiting, viral infection of the mouth.

Question 2

What are the prodromal symptoms of oral herpes

Answer 2

fever, cervical lymphadenopathy, and malaise.

Question 3

What is the treatment of oral herpes

Answer 3

(1) Disease is usually self-limiting. Lesions heal spontaneously in 7-14 days.
(2) Acyclovir 200-800 mg five times daily for 7-14 days may speed recovery time.
(3) Treat symptoms
(a) Hydration
(b) Systemic analgesia
(c) Antipyretics
(d) Soft bland diet
(4) Provide oral hygiene instruction
(5) MAGIC MOUTHWASH, 1:1:1 ratio of
(a) 2% viscous lidocaine
(b) Liquid diphenhydramine
(c) Kaopectate or Maalox

Question 4

Differential Diagnosises for oral herpes

Answer 4

(1) Mononucleosis (Epstein-Barr virus)
(2) Herpangina (Coxsackie A virus)
(3) Necrotizing Ulcerative Gingivitis

Question 5

Disposition of oral herpes

Answer 5

Retain. Refer to dental for cleaning if possible.