Herpangia

50 yr old male presented with oral ulcers painful.. since 05 days. given salicylic plus lignocaine gel and augmentin And Multivitamin 05 days course. still complaining of pain, any other thing to do?

30-year-old male complains of burning mouth pain x 1 week. Pain is made worse by eating and drinking. What are the 2 findings and what are your recommendations? Which tests (if any) would you order if he had a history of recurrent lesions?

5 yr male child with fever since two days , pustules over hard palate since since 2 days , tonsils appear to be slightly inflamed diagnose and give treatment .

Herpes Simplex 1Herpes simplex is a viral infection caused by the herpes simplex virus (HSV). HSV-1 is associated primarily with oral infections, and HSV-2 causes mainly genital infections.CLINICAL_ Primary Infection- 1)Symptoms occur from 3 to 7 days after contact (respiratory droplets, direct contact). 2)Constitutional symptoms include low-grade fever, headache and myalgias, regional lymphadenopathy, and localized pain. Pain, burning, itching, and tingling last several hours. 3)Grouped vesicles, usually with surrounding erythema, appear and generally ulcerate or crust within 48 hr. 4)The vesicles are uniform in size (differentiating it from herpes zoster vesicles, which vary in size). Scattered erosions covered with exudate may be noted on genitals. 5)During the acute eruption the patient is uncomfortable; involvement of lips and inside of mouth may make it unpleasant for the patient to eat; urinary retention may complicate involvement of the genital area. 6)Lesions generally last from 2 to 6 wk and heal without scarring. Recurrent Infection- Generally caused by alteration in the immune system; fatigue, stress, menses, local skin trauma, and exposure to sunlight are contributing factors. A cluster of lesions generally evolves within 24 hr from a macule to a papule and then vesicles surrounded by erythema; the vesicles coalesce and subsequently rupture within 4 days, revealing erosions covered by crusts. The crusts are generally shed within 7 to 10 days, revealing a pink surface. Rapid onset of diffuse cutaneous herpes simplex (eczema herpeticum) may occur in certain atopic infants and adults.DIFFERENTIAL DIAGNOSIS-_ Impetigo _ Behçet’s syndrome _ Coxsackie virus infection _ Syphilis _ Stevens-Johnson syndrome _ Herpangina. _ Aphthous stomatitis. _ Varicella. _ Herpes zoster LABORATORY TESTS- 1)Direct immunofluorescent antibody slide tests provide a rapid diagnosis. 2)Viral culture is the most definitive method for diagnosis; results are generally available in 1 or 2 days. The lesions should be sampled during the vesicular or early ulcerative stage; cervical samples should be taken from the endocervix with a swab. 3)Tzanck smear is a readily available test that will demonstrate multinucleated giant cells. However, it is not a highly sensitive test. 4)Pap smear will detect HSV-infected cells in cervical tissue from women without symptoms. 5)Serologic tests for HSV: immunoglobulin (Ig) G and IgM serum antibodies. Antibodies to HSV occur in 50% to 90% of adults. The presence of IgM or a fourfold or greater rise in IgG titers indicates a recent infection (convalescent sample should be drawn 2 to 3 wk after the acute specimen is drawn).

patient visited with complain of red patches on her palate since 1 month and ulcer like patches below her tongue.