Atanassov N, Todorova M, Raskova M
Stomatologiia (Sofiia). 1989 Jul-Aug;71(4):1-5.
A clinical case of herpetic manifestation in the mouth is described as a grave gingivostomatitis in a child aged 12. Chronology and symptomatics of the disease are analyzed in details as well as the difficulties both in diagnostics and treatment. Some important moments are discussed that usually aggravate the clinical picture and the treatment of similar conditions--including an antibiotic from penivillin group in the treatment, the presence of cutting teeth with inflammatory alterations around them, extraction. All possible diseases in the oral cavity are analyzed that could give a similar symptomatics as well as the tactics of the stomatologist until making the final diagnosis. The diagnosis was ex juvantibus elucidated Symptomatic treatment was carried out and paraclinical examinations performed enabling the authors to make the diagnosis recurrent herpetic infection with not typical course upon the oral mucosa induced by the virus of herpes simplex, type I.
描述了一例口腔疱疹表现的临床病例，是一名12岁儿童的严重龈口炎。详细分析了该疾病的病程和症状，以及诊断和治疗中的困难。讨论了一些通常会加重临床表现和类似病症治疗的重要因素——包括治疗中使用青霉素类抗生素、正在萌出且周围有炎症改变的牙齿、拔牙。分析了口腔中所有可能出现类似症状的疾病，以及口腔医生在做出最终诊断前的策略。通过对症治疗明确了诊断，并进行了辅助检查，使作者能够诊断为单纯疱疹病毒I型引起的口腔黏膜复发性疱疹感染，病程不典型。
