TY  - CHAP
M1  - Book, Section
TI  - Herpes Simplex
A1  - Mayeaux, E.J.
A1  - Usatine, Richard P.
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  4-year-old  girl  is  brought  to  her  pediatrician’s  office  because  of  fever  and  sores  in  her  mouth  for  the  past  2  days.  The  child  is  alert,  playful  and  fully  oriented,  and  her  doctor  notes  that  she  has  crusting  on  her  outer  lips  (Figure  114-1A).  The  mother  pulls  back  the  child’s  upper  lip  to  show  how  her  daughter’s  gums  are  inflamed  (Figure  114-1B).  There  are  small  ulcers  on  the  tip  of  the  tongue  (Figure  114-2A)  and  when  the  lower  lip  is  pulled  down  there  are  obvious  ulcers  on  the  mucosa  (Figure  114-2B).  The  doctor  easily  diagnoses  primary  herpes  gingivostomatitis  and  determines  that  the  child  is  drinking  fluids  but  not  eating.  Her  mucous  membranes  are  moist  and  there  are  no  signs  of  dehydration.  The  doctor  recommends  giving  fluids  that  are  nonacidic  and  somewhat  cold  (anything  that  will  be  tolerated).  Oral  acyclovir  suspension  is  prescribed  three  times  daily  for  7  days.  The  following  day  the  child  the  child  became  afebrile  and  was  tolerating  fluids  and  food  better.  Within  1  week,  she  was  fully  better  and  able  to  go  back  to  preschool.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114875065
ER  -