Herpetic stomatitis

Alternative names:

aphthous stomatitis; ulcerative stomatitis

Definition:

A viral infection of the mouth characterized by ulcers and inflammation of the gums. See also canker sores.

Causes, incidence, and risk factors:

Herpetic stomatitis is a contagious viral illness caused by Herpes virus hominus (also herpes simplex virus, HSV) and is seen in young children. This condition probably represents their first exposure to herpes virus and results in a systemic illness characterized by high fever (often 104 degrees Fahrenheit), blisters, ulcers in the mouth and inflammation of the gums. The inside of the cheeks and tongue frequently develop ulcers 1 to 5 millimeters in diameter with a grayish-white base and a reddish perimeter. These ulcers are very painful and cause drooling, difficulty swallowing, and decrease in food intake (although the patient may be hungry).

An adult member of the family may have a canker sore or cold sore at the time the child develops the herpetic stomatitis or, more likely, no source for the infection will be discovered. The illness clears up and ulcers are generally healed within 10 days.