📝 “What Are Key Differences Between Coxsackievirus & Herpetic Stomatitis Oral Manifestations?”

- 12.31.24Quick Review #259 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #herpangina #coxsackievirus #herpes #herpeticstomatitis Coxsackievirus Herpangina• Causative Agent: Coxsackievirus (commonly group A).• Population Affected: Primarily affects children, especially during summer and early fall.Oral Manifestations:• Small vesicles (2-4 mm) on the soft palate, uvula, tonsillar pillars, and posterior pharynx.• Vesicles rupture to form shallow ulcers with surrounding erythema.• Rarely involves the anterior oral cavity or gingiva.Symptoms:• Sudden onset of high fever (101-104°F).• Sore throat and difficulty swallowing (dysphagia).• Headache, abdominal pain, and vomiting are common.Systemic Signs:• Malaise and fatigue.• Mild rash on the hands, feet, and other body areas may occur in hand, foot, and mouth disease, but less pronounced in herpangina.• Duration: Resolves within 7-10 days without scarring.• Transmission: Fecal-oral route or respiratory droplets.Herpetic Stomatitis• Causative Agent: Herpes simplex virus (HSV-1, primarily).• Population Affected: Most common in young children (primary infection), but can affect adults in recurrent forms (e.g., cold sores).Oral Manifestations:• Multiple vesicles and ulcers throughout the oral cavity, including the gingiva, lips, tongue, buccal mucosa, and palate.• Gingival involvement leads to diffuse erythema, swelling, and bleeding (gingivostomatitis).• Vesicles rupture to form painful ulcers.Symptoms:• Painful oral lesions interfere with eating and drinking.• Fever (mild to moderate) and lymphadenopathy.Systemic Signs:• Cervical lymphadenopathy is common.• Irritability and malaise, especially in children.• Possible dehydration due to difficulty eating and drinking.• Duration: Resolves in 10-14 days. May result in latent infection in the trigeminal ganglion, causing recurrent herpes labialis.• Transmission: Direct contact with saliva or vesicular fluidReferences:1. The Royal Children’s Hospital Melbourne. (n.d.). HSV gingivostomatitis: Clinical practice guidelines. Retrieved December 30, 2024, from https://lnkd.in/e2ywfghm2. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2022). Oral and maxillofacial pathology (5th ed.). Elsevier.3. Kumar, V., Abbas, A. K., & Aster, J. C. (2021). Robbins and Cotran pathologic basis of disease (10th ed.). Elsevier.4. Terezhalmy, G. T., & Riley, C. K. (2023). Viral infections of the oral cavity: Clinical manifestations and management. Journal of Oral Medicine and Oral Surgery, 29(3), 205-2125. ChatGPT. 2024#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher