Case Report
BibTex RIS Cite

Herpetik Geometrik Glossit Olgusu: Nadir Oral Herpetik Görünüm

Year 2019, Volume: 5 Issue: 2, 1671 - 1674, 15.08.2019
https://doi.org/10.30569/adiyamansaglik.598574

Abstract

Giriş: Herpes simpleks virüs (HSV)
oral lezyonları labial ve ağız içinde görülür . Herpetik glossit ise nadir
görülen bir formdur ve özellikle immun sistemi baskılanmış hastalarda saptanır.
Burada bronşektazi tanısıyla takip edilen, sistemik steroid tedavisi alan bir
herpetik geometrik glossit olgusu sunulmaktadır.

Olgu: Elli yaşında erkek hasta,
bronşektazi ve pnömoni tanısıyla takip edilirken dil üzerinde yara gelişmesi
nedeniyle değerlendirildi. Hastanın mevcut tedavisine sistemik steroid
(Prednizolon 40 mg) eklenmesi sonrasında dil üstünde beyaz plaklar saptandı.
Dil üstündeki beyaz plaklar kandidiyazis lehine değerlendirildi ve  flukonazol tedavisi başlandı. Flukonazol
tedavisinin 3. günü  dil dorsalinde
geometrik şekilli erozyone, fissürlü, ağrılı plaklar gözlendi. Hastaya herpes
enfeksiyonu düşünülerek valasiklovir 
tedavisi başlandı. Hastanın takibinde 14 günlük tedavi sonrası tüm
lezyonlarının gerilediği saptandı.





Sonuç: Herpetik geometrik glossit
nadir görülen ancak immunsuprese hastalarda dilde ağrılı lezyonlarda akılda
tutulması gereken bir hastalıktır. Literatürde nadir olgular şeklinde sunulması
ve tedavide süresinin uzatılmasının tedavi cevabında önemli olması açısından
olgumuzun hatırlatıcı olduğunu düşünmekteyiz.

References

  • 1. Mirowski GW, Goddard A. Herpetic geometric glossitis in an immunocompetent patient with pneumonia. J am Acad Dermatol. 2009 Jul;61(1):139-42.
  • 2. Pereira CM, Souza CA, Correa MP. Herpetic geometric glossitis: Acyclovir resistant case in a patient with acute myelogenous leukemia. Indian J Pathol Microbiol 2010;53:133-4.
  • 3. Grossman ME, Grossman A, Stevens AW, Cohen PR. Herpetic Geometric Glossitis. N Engl J Med 1993; 329:1859-60.
  • 4. Cohen PR, Kazi S, Grossman ME. Herpetic geometric glossitis: a distinctive pattern of lingual herpes simplex virus infection. Southern Medical Journal, 1995, 88(12): 1231-5 .
  • 5. Spruance SL, Rowe NH, Raborn GW, Thibodeau EA et al. Peroral famaciclovir in the treatment of experimental ultraviolet radiation induced herpes simplex labialis. J Infect Dis. 1999 Feb; 179(2):303-10.
  • 6. Spruance SL, Jones TM, Blatter MM, Vargas- Cortes M, Barber J et al. High-dose, short duration, early valacyclavir theraphy for episodic treatment of cold sores. Antimicrob Agents Chemother. 2003 Mar;47(3): 1072-80.
  • 7. Metin A. Glossitlerde Algoritmik Tanı ve Tedavi. 268-303. Researchgate.net
  • 8. Klokotronis A, Daumas S. Herpes simplex virus infection, with particular referance to the progression and complications of pimary herpetic gingivostomatitis. Clin Microbiol Infect 2006;12:202-11.
  • 9. Miller CS, Redding SW. Diagnosis and management of orofacial herpes simplex virus infections. Dent Clin North Am 1992;36:879-95.

Herpetic Geometric Glossite Case: A Rare Oral Herpetic Appearance

Year 2019, Volume: 5 Issue: 2, 1671 - 1674, 15.08.2019
https://doi.org/10.30569/adiyamansaglik.598574

Abstract

Introduction: Herpes simplex virus (HSV)
oral lesions are seen in the labial and oral. Herpetic glossitis is a rare form
and is detected especially in immunocompromised patients. Here, we report a
case of bronchiectasis followed by systemic steroid treatment and suggesting
herpetic geometric glossitis.

Case: A 50-years-old male patient
was diagnosed with bronchiectasis and pneumonia. White plaques were found on
the tongue after systemic steroid (Prednisolone 40 mg) was added to the
patient's current treatment. White plaques on the tongue were evaluated in
favor of candidiasis and fluconazole treatment was started. On the third day of
fluconazole treatment, geometric shaped erosion, fissured and painful plaques
were observed on the dorsal tongue. Valaciclovir treatment was started
considering herpes infection. All lesions were regressed after 14 days of
treatment.





Conclusion: Herpetic geometric glossitis
is a rare disease that should be kept in mind in painful lesions of the tongue
in immunosuppressed patients. We think that this case is a reminder in the
literature because it is presented as rare cases and prolongation of treatment
is important in treatment response.

References

  • 1. Mirowski GW, Goddard A. Herpetic geometric glossitis in an immunocompetent patient with pneumonia. J am Acad Dermatol. 2009 Jul;61(1):139-42.
  • 2. Pereira CM, Souza CA, Correa MP. Herpetic geometric glossitis: Acyclovir resistant case in a patient with acute myelogenous leukemia. Indian J Pathol Microbiol 2010;53:133-4.
  • 3. Grossman ME, Grossman A, Stevens AW, Cohen PR. Herpetic Geometric Glossitis. N Engl J Med 1993; 329:1859-60.
  • 4. Cohen PR, Kazi S, Grossman ME. Herpetic geometric glossitis: a distinctive pattern of lingual herpes simplex virus infection. Southern Medical Journal, 1995, 88(12): 1231-5 .
  • 5. Spruance SL, Rowe NH, Raborn GW, Thibodeau EA et al. Peroral famaciclovir in the treatment of experimental ultraviolet radiation induced herpes simplex labialis. J Infect Dis. 1999 Feb; 179(2):303-10.
  • 6. Spruance SL, Jones TM, Blatter MM, Vargas- Cortes M, Barber J et al. High-dose, short duration, early valacyclavir theraphy for episodic treatment of cold sores. Antimicrob Agents Chemother. 2003 Mar;47(3): 1072-80.
  • 7. Metin A. Glossitlerde Algoritmik Tanı ve Tedavi. 268-303. Researchgate.net
  • 8. Klokotronis A, Daumas S. Herpes simplex virus infection, with particular referance to the progression and complications of pimary herpetic gingivostomatitis. Clin Microbiol Infect 2006;12:202-11.
  • 9. Miller CS, Redding SW. Diagnosis and management of orofacial herpes simplex virus infections. Dent Clin North Am 1992;36:879-95.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Sibel Altunışık Toplu 0000-0002-2915-4666

Nihal Altunışık

Yaşar Bayındır Yaşar Bayındır This is me

Publication Date August 15, 2019
Submission Date July 30, 2019
Acceptance Date August 8, 2019
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

AMA Altunışık Toplu S, Altunışık N, Yaşar Bayındır YB. Herpetik Geometrik Glossit Olgusu: Nadir Oral Herpetik Görünüm. ADYÜ Sağlık Bilimleri Derg. August 2019;5(2):1671-1674. doi:10.30569/adiyamansaglik.598574