Title: Herpetic Gingivostomatitis with Secondary Impetigo Contagiosa: A Case Report

Authors: Sunil Kumar Agarwalla, Pallavi Priyadarshini, Sumanta Kumar Panigrahy, Jatadhari Mahar, Bijaylaxmi Mallick

 DOI: https://dx.doi.org/10.18535/jmscr/v10i5.04

Abstract

Acute herpetic gingivostomatitis represents the pattern of infection with herpes simplex virus. HSV is a double stranded DNA virus and belongs to HHV (herpes human virus). Around 90% of these herpetic gingivostomatitis cases are caused by HSV type-I and sometimes by HSV type-II. This infection is usually seen in the perioral region, source of infection being saliva or previous lesions, although not always symptomatic can present with symptoms in 10% of cases. Rarely, we may see a superadded infection on the raw lesion, complication by staphylococcus aureus, resulting into and secondary impetigo. Source of infections in such cases will the commensal staphylococcus which is usually present as a nasal commensal, may travel through the nasal discharge and colonizing the already raw lesions and hence leading to a secondary impetigo contagiosa. Here, we shall report a case of two siblings 8 years and 6 years old with acute herpetic gingivostomatitis complicated by a secondary impetigo contagiosa.

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Corresponding Author

Pallavi Priyadarshini

Junior Resident, Department of Pediatrics, SVPPGIP, SCB Medical College, Cuttack