TY - CHAP M1 - Book, Section TI - Herpetic Gingivostomatitis A1 - Shah, Ashish A1 - Sobolewski, Brad A1 - Mittiga, Matthew R. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Herpetic gingivostomatitis is primary infection caused by HSV seen in up to 30% of children between 6 months and 5 years of age. Patients usually present with approximately 4 days of fever, malaise, decreased oral intake, cervical adenopathy, and pain in the mouth and throat. Following the prodrome, vesicular and ulcerative lesions appear throughout the oral cavity. The gingiva becomes very friable and inflamed, especially around the alveolar rim. Increased salivation, foul breath, and cervical lymphadenitis may be present. Although fever resolves in 3 to 5 days, children may have difficulty eating for 7 to 14 days. Lesions may last for up to 21 days in severe cases. Autoinoculation may produce vesicular lesions on the fingers (herpetic whitlow). SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/10/09 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044407 ER -