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COVID-19 阳性患者的非典型性疱疹性溃疡:三例报告。

Atypical herpetic ulcerations in COVID-19 positive patients: A report of three cases.

机构信息

Section of Oral & Maxillofacial Pathology, New York-Presbyterian Queens, Flushing, NY, USA.

Section of Oral & Maxillofacial Pathology, New York-Presbyterian Queens, Flushing, NY, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Feb;135(2):268-271. doi: 10.1016/j.oooo.2022.07.015. Epub 2022 Jul 29.


DOI:10.1016/j.oooo.2022.07.015
PMID:36229369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9335396/
Abstract

Since the global COVID-19 pandemic, numerous reports have been made regarding oral lesions seen in COVID-19 patients. It remains unclear whether or not these are true manifestations of COVID-19. Here we present 3 patients who were hospitalized for COVID-19 and who developed atypical herpetic ulcerations during their treatment with remdesivir (Veklury) and steroids. In healthy patients, recurrent infection by herpes simplex virus (HSV) presents as lesions only on the lips and the attached oral mucosa. Atypical herpetic ulcerations are seen in immunocompromised patients. They present as large, stellate shaped ulcerations with raised borders and may involve movable mucosa. The 3 cases presented in this report resembled the atypical herpetic ulcerations typically seen in patients with immunosuppression. Through our report, we aimed to introduce the possibility of atypical herpetic ulcers in patients being treated for COVID-19, to allow for their timely diagnosis and to raise awareness of the underlying immunocompromised state.

摘要

自全球 COVID-19 大流行以来,已有大量关于 COVID-19 患者口腔病变的报告。目前尚不清楚这些病变是否为 COVID-19 的真实表现。在这里,我们介绍了 3 名因 COVID-19 住院的患者,他们在接受瑞德西韦(Veklury)和类固醇治疗期间出现了非典型疱疹性溃疡。在健康患者中,单纯疱疹病毒(HSV)的复发性感染仅表现为唇部和附着的口腔黏膜病变。非典型疱疹性溃疡发生于免疫功能低下的患者。它们表现为大的、星状的溃疡,边缘隆起,可能累及可移动的黏膜。本报告中介绍的 3 例病例类似于免疫抑制患者中常见的非典型疱疹性溃疡。通过我们的报告,我们旨在介绍 COVID-19 治疗患者中出现非典型疱疹性溃疡的可能性,以便及时诊断,并提高对潜在免疫抑制状态的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/9a068c2eda9c/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/104cf0cec4e2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/ab9703d485a3/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/ac5e25ae1247/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/9a068c2eda9c/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/104cf0cec4e2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/ab9703d485a3/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/ac5e25ae1247/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d645/9335396/9a068c2eda9c/gr4_lrg.jpg

相似文献

[1]
Atypical herpetic ulcerations in COVID-19 positive patients: A report of three cases.

Oral Surg Oral Med Oral Pathol Oral Radiol. 2023-2

[2]
The clinical characteristics of intraoral herpes simplex virus infection in 52 immunocompetent patients.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998-10

[3]
Clinical aspects of recurrent oral herpes simplex virus infection.

Compend Contin Educ Dent. 2002-7

[4]
Immunohistochemical diagnosis of herpetic gingivostomatitis and its treatment with acyclovir.

J Chemother. 1989-7

[5]
Diagnosis and management of orofacial herpes simplex virus infections.

Dent Clin North Am. 1992-10

[6]
Clinical features of gingivostomatitis due to primary infection of herpes simplex virus in children.

BMC Infect Dis. 2020-10-20

[7]
ACUTE HERPETIC STOMATITIS: CLINICAL MANIFESTATIONS, DIAGNOSTICS AND TREATMENT STRATEGIES.

Wiad Lek. 2022

[8]
[Atypical herpetic manifestations].

Z Hautkr. 1985-11-15

[9]
Herpes Simplex Virus Type 1 infection: overview on relevant clinico-pathological features.

J Oral Pathol Med. 2008-2

[10]
Herpesviridae-associated persistent mucocutaneous ulcers in acquired immunodeficiency syndrome. A clinicopathologic study.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996-4

引用本文的文献

[1]
Unveiling the Oral Lesions, Dysgeusia and Osteonecrosis Related to COVID-19: A Comprehensive Systematic Review.

J Clin Med. 2025-2-14

[2]
The Oral Lesion in the COVID-19 Patient: Is It True Oral Manifestation or Not?

Infect Drug Resist. 2023-7-4

本文引用的文献

[1]
Opportunistic Infections in COVID-19: A Systematic Review and Meta-Analysis.

Cureus. 2022-3-31

[2]
Severe Adaptive Immune Suppression May Be Why Patients With Severe COVID-19 Cannot Be Discharged From the ICU Even After Negative Viral Tests.

Front Immunol. 2021

[3]
COVID-19-associated opportunistic infections: a snapshot on the current reports.

Clin Exp Med. 2022-8

[4]
Immunosuppression as a Hallmark of Critical COVID-19: Prospective Study.

Cells. 2021-5-23

[5]
Pathogenesis of dysgeusia in COVID-19 patients: a scoping review.

Eur Rev Med Pharmacol Sci. 2021-1

[6]
Oral manifestations of COVID-19 disease: A review article.

Dermatol Ther. 2021-1

[7]
Oral lesions in patients with SARS-CoV-2 infection: could the oral cavity be a target organ?

Oral Surg Oral Med Oral Pathol Oral Radiol. 2021-2

[8]
Complex Immune Dysregulation in COVID-19 Patients with Severe Respiratory Failure.

Cell Host Microbe. 2020-4-21

[9]
Herpes Simplex Virus Infection Mimicking Bullous Disease in an Immunocompromised Patient.

Case Rep Dermatol. 2010-6-15

[10]
Asymptomatic shedding of herpes simplex virus (HSV) in the oral cavity.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008-1

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