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Viral,
bacterial, or fungal infections can
affect the soft tissues in the mouths
of infants and young children.
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Viral, bacterial, or fungal infections
can affect the soft tissues in the mouths of infants
and young children. Examples of such infections include
- Viral infections such as primary acute herpetic
gingivostomatitis (herpes simplex virus type 1);
recurrent herpes labialis; varicella-zoster virus
(chicken pox); Type A coxsackieviruses (hand, foot,
and mouth disease); and primary HIV infection.
- Bacterial or fungal infections such as acute necrotizing
ulcerative gingivitis (“trench mouth,”
Vincent’s infection) and candidiasis (thrush).
Read more: Diseases
and Conditions Causing Lesions of the Oral Mucosa
(.pdf) , from Oral Health in America:
A Report of the Surgeon General, pp 98-100.
Full text of this report is available at www.nidcr.nih.gov/DataStatistics/SurgeonGeneral.
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Fig 18. Primary
Herpetic Gingivostomatitis
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Primary Herpetic Gingivostomatitis
Primary herpetic gingivostomatitis is an infection
of the oral and perioral tissues. It is associated
with elevated temperature, dehydration, discomfort,
malaise, abnormal enlargement of the lymph nodes,
and intense red gingival vesicles that rupture. The
vesicles are located throughout the mouth. The infection
results in ulcers, drooling, and halitosis
(bad breath). Primary herpetic gingivostomatitis is
caused by the herpes simplex virus. Treatment involves
supportive therapy, hydration, and antipyretics. The
infection usually resolves in 7 to 10 days.
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Fig 19.
Candidiasis (thrush)
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Candidiasis
Candidiasis, a fungal infection that may be present
in infancy, appears as a soft white plaque coating
the mucosa and palate. When the coating is removed
with a gauze pad or tongue blade, the undersurface
is red and raw. Candidiasis should be treated with
an antifungal medication.
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