Staphylococcus aureus bacteremia complicating herpes simplex virus type 1 stomatitis: case report and review of the literature.
J Periodontol
; 79(2): 376-8, 2008 Feb.
Article
in En
| MEDLINE
| ID: mdl-18251654
ABSTRACT
BACKGROUND:
Gingivostomatitis is a common clinical manifestation of primary herpes simplex virus type 1 (HSV-1) infection in children. The most common complication of herpetic gingivostomatitis is dehydration; rarely, it may be complicated by secondary bacteremia, and Kingella kingae and group A Streptococcus infections have been reported to be responsible for such episodes.METHODS:
We describe the clinical course of a 4.5-year-old girl several years after a liver transplantation, who presented with high fever, vesicular lesions in the buccal region, and cervical lymphadenopathy.RESULTS:
Viral culture from the vesicles grew HSV-1, whereas blood culture and bacterial culture from the vesicles grew methicillin-sensitive Staphylococcus aureus with identical antibiogram. Serology against HSV-1 confirmed a recent infection. The child was treated with cephalexin and improved gradually.CONCLUSIONS:
Herpetic lesions of the oral mucosa might serve as a port of entry for pathogens including Staphylococcus aureus. Pediatricians and dentists should be aware of bacterial complications in children with herpetic stomatitis.
Full text:
1
Database:
MEDLINE
Main subject:
Stomatitis, Herpetic
/
Bacteremia
Limits:
Child, preschool
/
Female
/
Humans
Language:
En
Year:
2008
Type:
Article