[On the problem of diagnostics and treatment of herpetic infection in the oral cavity].

Stomatologiia. Stomatology Pub Date : 1989-07-01
N Atanassov, M Todorova, M Raskova
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Abstract

A clinical case of herpetic manifestation in the mouth is described as a grave gingivostomatitis in a child aged 12. Chronology and symptomatics of the disease are analyzed in details as well as the difficulties both in diagnostics and treatment. Some important moments are discussed that usually aggravate the clinical picture and the treatment of similar conditions--including an antibiotic from penivillin group in the treatment, the presence of cutting teeth with inflammatory alterations around them, extraction. All possible diseases in the oral cavity are analyzed that could give a similar symptomatics as well as the tactics of the stomatologist until making the final diagnosis. The diagnosis was ex juvantibus elucidated Symptomatic treatment was carried out and paraclinical examinations performed enabling the authors to make the diagnosis recurrent herpetic infection with not typical course upon the oral mucosa induced by the virus of herpes simplex, type I.

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口腔疱疹感染的诊断与治疗问题
一个临床病例的疱疹表现在口腔被描述为一个严重的龈口炎在一个12岁的孩子。详细分析了该病的年代学和症状,以及诊断和治疗的难点。讨论了一些重要的时刻,通常会加重临床症状和类似情况的治疗-包括治疗中青霉素组的抗生素,切齿周围有炎症改变的存在,拔牙。分析口腔中所有可能的疾病,这些疾病可能会给出类似的症状,以及口腔医生的策略,直到做出最终诊断。经对症治疗及临床旁检查,诊断为单纯疱疹I型病毒所致口腔黏膜非典型病程的复发性疱疹感染。
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