Saturday, October 15, 2016

Primary Oral Herpes (Herpetic Gingivostomatitis)


This picture is from a 4 year old child who was brought to the pediatrician with temperatures of 103◦F at home for 2–3 days. She has had no upper respiratory symptoms. Her oral intake has decreased, but she is maintaining good urine output. She has had no vomiting or diarrhea.
The examination reveals a febrile child that is slightly irritable. She is nontoxic and not dehydrated. Her oral cavity shows increased tonsil size with ulcers on her tongue and lips but not on the tonsillar pillars. Her anterior cervical lymph nodes are enlarged. The rest of her exam is noncontributory.

What is the most likely diagnosis?
A) Streptococcal pharyngitis.
B) Hand, foot, and mouth disease (coxsackie virus).
C) Herpetic gingivostomatitis.
D) Varicella.
E) Infectious mononucleosis.

Answer And Discussion
The correct answer is “C.”  Herpetic gingivostomatitis.


Primary oral herpes (herpetic gingivostomatitis) is associated with a relatively high fever and anteriorly placed ulcerations and vesicles (gums, tongue, and lips). Symptoms tend to start relatively abruptly with pain, salivation, refusal to eat, and fever. Herpes gingivostomatitis may recur during life in the form of “cold sores.” 

“B” is incorrect because the patient does not have hand and foot lesions.

“D,” varicella, can occur in the oral pharynx but would have lesions elsewhere in various stages and respiratory symptoms as well. 

Infectious mononucleosis is not associated with vesicular lesions or mucosal ulcerations.

5 comments:

  1. Hello, my name is Betty. i was diagnosed of HIV virus 4 years back. Before then, i was dating this Derrick guy. we had something great going on. Our love life only lasted for 8 months. the sixth and seven month of our relationship, i began feeling very weak every now and then. But i never suspected anything until I kept on experiencing different symptoms like having sore throats, constant headache, body weakness e.t.c. I decided to go for a medical check up. I was tested HIV positive. when the doctor broke the news to me, it was as if my whole world had crumbled. it dawned on me then that Derrick has been lying to me. i was very mad to an extent i almost committed suicide. But there was nothing i could do, other than weep and weep. ever since then, i have been spending heavily on medications, going from one medical clinic or the other so I can look healthy. Though since i was a kid, i love herbs a lot. i take herbal tea with grandma while growing so i am quite familiar with herbs. early last year, i was on the internet and on a particular health blog, to check for herbal medication as alternative. I saw many comments and read many testimonies. Until i came across a particular testimony on how Dr.ugo cured a patient from herpes simplex virus using pure natural herbs. i reached out to the doctor because I also was thinking Herpes had no cure. I told him about my HIV status.He encouraged me not to panic that he will help me get my deliverance. he prepared some herbs and sent them to me. The herbs were in four 70ml bottles and I took them morning and night. i used as he directed, and in less than three weeks, i started having appetite to eat plenty of food and i gained back my strength. the fourth week,I consumed all the herbal meds. He encouraged me to go for a test which i did. This time, the result was negative. I quickly contacted the doctor and informed him of the news. I immediately asked him to prepare for Derrick too. He did and sent it. Today, me and Derrick are HIV free. All thanks goes to God Almighty for healing us through Dr.Ugo. if you are having any kind of sickness at all, Dr.Ugo is the right person to talk to and i assure you, you will be glad you did. His email: ugoherbalhome@gmail.com you can also write him on WhatsApp +2348104990619.

    ReplyDelete
    Replies
    1. This is real take it serious, who will believe that a herb can cure HERPES DISEASE in my body, i never believe that this will work i have spend a lot when getting drugs from the hospital to keep me healthy, what i was waiting for is death because i was broke, one day i hard about this great man who is well know of HIV,cancer and herpes cure, i decided to email him, unknowingly to me that this will be the end of the HERPES DISEASE, he prepare the herb for me, and give me instruction on how to take it, at the end of the week which was seven days,he told me to go to the hospital for a check up, and i went surprisingly after it the doctor confirm me cure from HERPES disease I thought it was a joke, i went to other hospital the doctor there also confirm me cure from HERPES disease then i took my friend who was also HERPES patient to the Doctor after the taking of the herbs she was also confirm cure from HERPES disease .please I want every one with this virus to be free, that is why am dropping his email address,(drodukuherbalhealingcentre@gmail.com or his whatsap contact +2348124765093) you can visit his website https://drodukuherbalhealingcentre.weebly.com
      https://dr-oduku-herbal-healing-centre.business.site i want you to email him he is a great man. thank you for saving my life, and I promise I will always testify for your good work. you can also reach me clararose2128@gmail.com

      Delete
  2. I'm 15 years old. I was born with HIV my mother passed away because of the HIV infection And I regret why i never met Dr Itua he could have cured my mum for me because as a single mother it was very hard for my mother I came across Dr itua healing words online about how he cure different disease in different races diseases like HIV/Aids Herpes,Parkison,Asthma,Copd,Epilepsy,Shingles,Cold Sore,Infertility, Chronic Fatigues Syndrome,Fibromyalgia,Love Spell,Prostate Cancer,Lung Cancer,Breast Cancer,Blood Cancer,Colo-Rectal Cancer,Love Spell,Weak Erection,Breast Enlargment,Penis Enlargment,Hpv,Diabetes Hepatitis even Cancer I was so excited but frighten at same time because I haven't come across such thing article online then I contacted Dr Itua on Mail drituaherbalcenter@gmail.com/ info@drituaherbalcenter.com. I also chat with him on what's app +2348149277967 he tells me how it works then I tell him I want to proceed I paid him so swiftly Colorado post office I receive my herbal medicine within 4/5 working days he gave me guild lines to follow and here am I living healthy again can imagine how god use men to manifest his works am I writing in all articles online to spread the god work of Dr Itua Herbal Medicine,He's a Great Man.

    ReplyDelete
  3. HOW I GOT CURED FROM HERPES VIRUS I was diagnosed of thanks to @dr_zubby4 HERPES virus and i have tried all I can to get cured but all to no avail,,until I saw a post in a health forum about a herbalist man who prepare herbal medications to cure all kind of diseases including HERPES virus,at first I doubted if it was real but decided to give it a try,when I contacted this herbalist via his email and he prepared a HERPES herbal cure ups delivery company service, when I received this herbal medicine, he gave me step by direction on how to apply it,after applying the way I was instructed,I was totally cured of this deadly disease called HERPES, all thanks to @dr_zubby4 Email this great herbal doctor via his email Dr.zubbysolutionhome@gmail.com) or whatsapp him Via:+2348070673249 HE CAN ALSO CURE SICKNESS LIKE
    {1}HIV/AIDS
    {2}DIABETES
    {3}EPILEPSY
    {4} BLOOD CANCER
    {5} HPV
    {6} ALS
    {7} HEPATITIS
    {8}LOVE SPELL
    {9} SICKLE AND ANAEMIA his Weebly sit
    https://drzubbysolutionhome.weebly.com

    ReplyDelete
  4. Nice blog
    Have been totally convinced that HIV,and many others dangerous diseases can be best cured using the Herbal Medicine. Dr.Akpu the great and powerful herbalist cured me with his Herbal remedy. I'm Linda,15 years from Texas. I was born with HIV. I lost parents at my teenager age when I was 4th. I had to grew up with my mum only Sister, whom I loved so much. She was so worried about my life as my condition was her mature problem in life. I had taken lots of antiviral treatment to get ride of the virus not believing what there said HIV has no cure. I was on the internet when i came across blogs of testimony about a lady who where cured of a 7 years diagnose of Herpes by this powerful Herbalist, Dr.Akpu.I wrote down his mail @ Dr.akpupowerherbscenter@gmail.com
    I told my Aunt,luckily it was the same Dr,we where referred to few months back by my pastor in church whom members have being testifying about of his cure We did contacted him and explained my problem to him.He prepared the medicine and sent to me with details of how to use and apply. After a while, I began to feel more strong than never before, I felt so lucky and happy when my Doctor congratulated me that he could found no HIV virus again in me. I knew I was free cos my body was so strong. His herbal medicine should have saved my parents life, i said!
    Thanks so much for reading my article, you should share your testimony if you have cure as well
    Dr.akpupowerherbscenter@gmail.com
    Is the solution

    ReplyDelete