Images in medicine | Volume 35, Article 123, 15 Apr 2020 | 10.11604/pamj.2020.35.123.18748

Palate herpes simplex virus infection

Giovanna Mosaico, Cinzia Casu

Corresponding author: Cinzia Casu, Private Dental Practice, Cagliari, Italy

Received: 01 Apr 2019 - Accepted: 11 Nov 2019 - Published: 15 Apr 2020

Domain: Oral health,Stomatology

Keywords: Oral herpes simplex virus, palate ulcer, palate herpes simplex virus

©Giovanna Mosaico et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Giovanna Mosaico et al. Palate herpes simplex virus infection. Pan African Medical Journal. 2020;35:123. [doi: 10.11604/pamj.2020.35.123.18748]

Available online at: https://www.panafrican-med-journal.com/content/article/35/123/full

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Images in medicine

Palate herpes simplex virus infection

Palate herpes simplex virus infection

Giovanna Mosaico1, Cinzia Casu2,&

 

1RDH, Freelancer in Brindisi, Brindisi, Italy, 2Private Dental Practice, Cagliari, Italy

 

 

&Corresponding author
Cinzia Casu, Private Dental Practice, Cagliari, Italy

 

 

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A 50-year-old man came to our private practice, for palate pain and difficulty swallowing. The medical history reported gastro esophageal reflux, otherwise the patient was in good health. He reported having recently suffered from a flu syndrome treated with antibiotics (amoxicillin and clavulanic acid) cortisone and anti-inflammatory drugs. At the second day of drug therapy, the patient started to have severe oropharyngeal pain with inability to eat, reflex sialorrhea and dysphagia. From an objective examination of the oral cavity, we could see vesicular lesions along the right arch of the hard palate with partial extension to the left. A diagnosis of herpetic infection was made. The erythematous and oedematous mucosa was in the ulcerative phase. Paracetamol and systemic acyclovir have been recommended to alleviate general symptoms, fever and pain. The patient was advised to not touch the palate with his hands to avoid the expansion of the virus in other facial areas. The prescribed therapy was not performed due to the increase in esophageal gastrointestinal reflux, so after 3 weeks the lesion was still present if reduced. The differential diagnosis could be thermal burn, chemical trauma, herpes zoster lesion (VZV).

 

 

Figure 1: particular manifestation of herpes simplex infection, beyond the midline

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in medicine

Palate herpes simplex virus infection

Images in medicine

Palate herpes simplex virus infection

Images in medicine

Palate herpes simplex virus infection

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Key words

Oral herpes simplex virus

Palate ulcer

Palate herpes simplex virus

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Palate herpes simplex virus infection