Oral Viral Infections Flashcards
Name the types of herpes virus and examples of each (3)
HSV1+2
- Primary herpetic gingivostomatitis
- Herpes labialis
- Viral ulceration (recurrent herpetic -palate, one nerve branch)
EBV
- Hairy leukoplakia
Varicella Zoster
- Shingles
List some facts about HSV epidemiology
Very common infection >90% population
Transferred thru saliva person contact
Common in childhood
Steps for HSV (4)
- Acute primary infection
- Latency
- Lies dormant in trigeminal ganglion - Reactivation
- Triggered by stimuli (stress,immunocompromised,infection,sun) to reactivate - Physical presentation
- Herpes labialis, ulceration, cold sores
Shingles tx
Aciclovir 800mg oral 5x daily for 7 days
Refer all pts with herpes zoster to a specialist or their GMP
List the clinical features/symptoms of Varicella Zoster (2)
Painful vesicles in dermatome
Affected area may have paraesthesia
List the complications of Varicella zoster (3)
Lies dormant
Post herpetic neuralgia (Aciclovir to reduce)
Secondary bacterial infections
Example of viral infections
Herpes
Herpangina (coxsackie)
Hand foot + mouth disease (coxsackie)
Varicella zoster
Measles/mumps/rubella
Features of hand foot and mouth disease
Fever, runny nose, cough
Skin rash on hands and feet
Oral ulcerations
Lasts 7-10 days
no tx: relieve symptoms
Features of Herpangina
Vesicles in tonsillar/pharyngeal region
Lasts 7-10 days
Signs/symptoms of primary herpetic gingivostomatitis
- Fluid filled vesicles rupture to ulcers
- Severe gingivitis
- Fever
- Headache
- Malaise
- Cervical lympadenopathy
Tx for primary herpetic gingivostomatitis
Bed rest
Soft diet + fluids
Painkillers
Aciclovir if immunocompromised 200mg
Self limiting 10-14 days reassure heals with no scarring
Triggers for recurrent herpes (3)
- Sunlight
- Stress
- Immunocompromised
How is herpes diagnosed
Swab
