Question

Differential diagnosis between anug and primary herpes simplex infection

Answer 1

hey!!!
^_^

Differential diagnosis
The initial primary differential diagnosis for our patient included: chemotherapy induced mucositis, neutropenic mucositis, HSV, gingivostomatitis, HIV-associated periodontitis and invasive fungal disease.

Since there were no characteristic vesicles (as one would expect in HSV) and there was no involvement of other mouth structures such as the tonsils and tongue as we typically see in invasive fungal infection and no known HIV risk factors, this made HSV, HIV and fungal disease less likely. Similarly, WCC and ANC had recovered by day 14 postchemotherapy when the lesions were progressing, which made chemotherapy or neutropenia associated mucositis unlikely, since count recovery and spontaneous healing is expected in these cases.

Thus ANUG was felt to be the best clinical fit for the patient's condition.


hope help.u

Answer 2

hye!

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↪Herpetic gingivostomatitis is often the initial presentation during the first herpes simplex infection.

↪It is of greater severity than herpes labialis which is often the subsequent presentations.

↪Primary herpetic gingivostomatitis is the most common viral infection of the mouth.