Herpetic stomatitis - a disease of viral etiology, caused widespread in nature, herpes simplex virus.
Once introduced into the body, the herpes simplex virus often does not extradite its presence, but the agent can manifest itself in the background of a weakened immune system, endocrine disorders, emotional stress, overheating, hypothermia, injuries of the oral mucosa, as well as many other factors.
Primary infection occurs through airborne droplets or by household, bringing a person (most often in children aged 1 to 3 years) begins to develop acute herpetic stomatitis, which, in the absence of systemic therapy can easily become chronic.
Unlike children, the occurrence of herpes sores in adults is much rarer, but its course is characterized by extreme weight, aggravated by the presence in the mouth of carious teeth, smoking, trauma to the mucous membranes of the mouth is too spicy or hot food, the increase in gingival pockets, etc.
Acute herpetic stomatitis: symptoms, forms
The disease begins with the deterioration of the general condition of the body, accompanied by weakness, fever, lethargy, loss of appetite. Herpetic stomatitis in infants appears "groundless" whims, crying, enhanced secretion of saliva with an unnatural odor, refusal of food. Older children complain of nausea, headache, burning sensation in the mouth.
Since at this stage of herpetic stomatitis expressed manifestations of the mucous membrane of the mouth is not, at this period of the disease otolaryngologist can be put misdiagnosis - angina or acute respiratory viral infections.
Further, in the mouth on the gums, lips, cheeks, the back surface of foci of infection begin to appear in the form of redness, swelling, blisters, on the spot where the person feels itching, burning and pain. After 1-2 days at these locations are typical bubbles are formed, one, two or more (not more than six) elements. After 3-4 days blisters ripen, burst and form into small drying soil and gradually epithelialized ulcer. This is a mild form of herpes sores, which quickly cured, and does not represent for the health of the patient at particular risk.
Moderate forms of acute herpetic stomatitis is characterized by severe symptoms of intoxication, and the submandibular lymph nodes enlarge and become painful. At the peak of congestion and high body temperature (up to 38-39 degrees) to the skin of the mouth or in the oral cavity observed occurrence of abundant blisters (from 10-25), and for the treatment of adverse conditions they coalesce and subsequent ulceration.
Severe disease is rare and most often in older people
. In the prodromal (beginner flowing before clinical signs) during herpetic stomatitis adults are seeing signs of acute infection include headache, lethargy, weakness, arthralgia, skin and muscle hypersensitivity
. There may be slightly swollen and bloodshot conjunctiva
. After 1-2 days in the mouth, eyelids, the skin near the mouth, on the earlobes, fingers, conjunctiva appear typical herpetic vesicles
. In the midst of disease, their number can reach 100 pieces
. Elements merge, forming extensive areas of necrosis of the mucous membrane
. In this period the putrid smell from the mouth, excessive salivation, often mixed with blood
. If this condition has occurred in children, herpetic stomatitis severe to be treated in a hospital isolation ward in the Infectious Diseases Hospital
Herpetic stomatitis: diagnostics and research
acute herpetic stomatitis confirmed cytomorphological smears from the mucous membranes of the mouth. Also, using swabs from the mucous membrane is determined by the presence of virus nucleotide followers herpes simplex virus.
Children with herpetic stomatitis, appoint additional investigation, as the herpes virus has a tendency to appear on the weakening of general and local immunity. For this study the level of immunoglobulin, the content of lysozyme in saliva, as well as the local immunity of the mucous membranes of the mouth.
Treatment of herpetic stomatitis
Treatment of herpetic stomatitis, regardless of the age of the patient, carried out by removing the painful symptoms of stomatitis in conjunction with antiviral therapy.
There are general and local types of medical intervention in herpetic stomatitis. To everyone's concern:
- Antiviral agents appointed in the first 5-7 days of illness (viroleks, acyclovir, famciclovir, bonafton) as directed by the physician;
- Antipyretic and analgesic agents;
- Antihistamines (tavegil, Claritin, suprastin, Phencarolum);
- Vitamin (ascorbic acid);
- Drugs intended to correct the immune system (sodium nukleinat, imudon).
As a topical treatment of herpetic stomatitis are assigned:
- Analgesics (lotions and applications solutions piromekaina, trimekaina, lidocaine);
- Antiseptics for oral as weak solutions furatsilina, potassium permanganate;
- Enzyme preparations to cleanse the erosion of necrotic tissue;
- Antiviral agents in the form of ointments and appliques;
- Epiteliziruyutsya means (sea buckthorn oil, rosehip oil solution of vitamin A, solkoseril);
- Anti-inflammatory and anti-bacterial agents;
- Aniline dyes (brilliant green solution) for the treatment of lesions on the skin elements.
Speed up recovery from herpetic stomatitis help excessive drinking, taking a multivitamin complex, mashed, does not irritate the mucous membranes of the food, and avoiding harmful habits.