Herpesviral gingivostomatitis
Chapter 1:Certain infectious and parasitic diseases
ICD-10 B00.2 is a billable code used to indicate a diagnosis of herpesviral gingivostomatitis.
Herpesviral gingivostomatitis is an acute viral infection primarily caused by the herpes simplex virus (HSV), most commonly HSV type 1. It is characterized by inflammation and ulceration of the oral mucosa and gingiva, leading to painful sores and lesions. This condition is most prevalent in children, typically under the age of 5, but can occur in individuals of any age. Symptoms often include fever, irritability, drooling, and difficulty eating or drinking due to pain. The lesions may appear as vesicles that rupture to form painful ulcers. Diagnosis is primarily clinical, based on the characteristic appearance of the lesions and associated symptoms. Laboratory confirmation can be achieved through viral cultures or polymerase chain reaction (PCR) testing. Treatment is generally supportive, focusing on pain management and hydration, as antiviral medications may be indicated in severe cases or immunocompromised patients. Complications can include secondary bacterial infections and dehydration due to oral pain. Vaccination against HSV is currently not available, making preventive measures and early intervention crucial in managing outbreaks.
Detailed history of symptoms, age of onset, and treatment provided.
Children presenting with fever and oral lesions, often during outbreaks.
Consideration of hydration status and potential for secondary infections.
Clinical examination findings, treatment plan, and follow-up care.
Patients with painful oral lesions affecting dental care.
Documentation of oral health status and any interventions performed.
Used for follow-up visits for symptom management.
Document history, examination findings, and treatment plan.
Pediatricians should note developmental milestones and hydration status.
The primary cause is the herpes simplex virus type 1 (HSV-1), which leads to painful oral lesions.
