Treatment of a child infected with a primary herpetic gingivostomatitis - ROS - 2017 - Tome 46 - N°2

Principales lésions diagnostiquées en omnipratique - Partie 2

Pages 94 to 100

Drapeau de la France
The primary herpetic infection generally affects infants from the age of 6 months, after they have lost the maternal antibodies, as well as children, with a peak between 2 and 4 years old (Drugge et al., 2008). This infection is most of the time asymptomatic or almost asymptomatic, with limited clinical manifestations often confused with those of teething. But in 25 in 30% of the cases, the disease clinically reveals itself with an acute gingivostomatitis and an alteration of the general
condition (Amir, 2001).

The strictly interhuman transmission is due to the HSV-1 (Herpes Simplex Virus-1) after a cutaneous-mucous contact, either with a symptomatic infected individual, generally infected with, in adults, recurrent labial herpes, or with an infected but asymptomatic individual showing no visible lesion. Let us remind that in France, the prevalence to HSV-1 is 65%.
Authors : A. VANDERZWALM-GOUVERNAIRE, C. JOSEPH, A.-L. EIJEL, S.-M. DRIDI