Herpes Simplex Virus-1: Difference between revisions
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==Herpes gingivostomatitis== | ==Herpes gingivostomatitis== | ||
[[File:Herpesgingiva.jpg|thumbnail|Herpes gingivostomatitis of mouth]] | [[File:Herpesgingiva.jpg|thumbnail|Herpes gingivostomatitis of mouth]] | ||
Painful vesicular lesions of mucocutaneous areas | |||
*Primary HSV-1 infection of lips, gingiva, and tongue | |||
*Associated with fevers, irritability, and cervical adenopathy | |||
*Lasts approx 2-4 weeks without treatment, course shortened with treatment | |||
**Acyclovir 40-80mg/kg PO divided in 3-4 doses for 5-7 days | |||
*PO intake is most important | |||
==Herpes keratitis== | ==Herpes keratitis== | ||
Revision as of 20:12, 20 June 2015
Herpes labialis (cold sore)
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- typically umbilicated vesicles, painful, that unroof and crust over
- typically localized to the vermillion border
Herpes gingivostomatitis
Painful vesicular lesions of mucocutaneous areas
- Primary HSV-1 infection of lips, gingiva, and tongue
- Associated with fevers, irritability, and cervical adenopathy
- Lasts approx 2-4 weeks without treatment, course shortened with treatment
- Acyclovir 40-80mg/kg PO divided in 3-4 doses for 5-7 days
- PO intake is most important
Herpes keratitis
Herpetic Whitlow
Eczema herpeticum
- Development of vesicular eruptions in areas of epidermis previously affected by atopic dermatitis
- fever is common
- May be life-threatening
- Treatment to cover Staph and Strep
- Bactrim 10mg/kg/d in 2 divided doses OR clindamycin 24mg/kg/d divided into 3 doses x10d
- Acyclovir 80mg/kg/d in 3 divided doses x10
See Also
Source
Tintinalli