Acute Herpetic Gingivostomatitis in Children – A Case Report

Abstract

Oral infections caused by herpes simplex Type 1 are widespread, even among otherwise healthy people. While most of these herpetic infections are asymptomatic, young children are at risk of developing extensive oropharyngeal vesicular eruptions when first infected with the virus. This initial outbreak is known as primary herpetic gingivostomatitis. Although it is a self-limiting disease, this oral infection can cause significant mouth discomfort, fever, lymphadenopathy, and difficulty in eating and drinking. Symptoms may persist for 2 weeks. Diagnosis can be made clinically and confirmed by laboratory tests. Some young children require hospitalization for management of dehydration and pain control. Providing supportive care and educating parents about transmission of the virus are important aspects of nursing care.