Herpes simples no Serviço de Estomatologia do Hospital São Lucas da PUCRS – estudo epidemiológico

Ana Carolina Stemmer, Karen Cherubini, Maria Antonia Figueiredo, Liliane Soares Yurgel

Abstract



O presente estudo teve por objetivo investigar o perfil epidemiológico do herpes simples
entre os pacientes do Serviço de Estomatologia do Hospital São Lucas da PUCRS. Foram analisados
167 prontuários dos quais 98 (58,68%) tiveram diagnóstico de gengivoestomatite herpética
primária e 69 (41,32%) de herpes recorrente. As variáveis idade e sexo dos pacientes,
sintomas da manifestação herpética, sítios anatômicos afetados, linfadenopatia e complicações,
bem como tratamento empregado foram analisadas. Na gengivoestomatite herpética, 69,38%
dos pacientes tinham entre 0 e 20 anos de idade, já no herpes recorrente 41,42% dos pacientes
tinham entre 21 e 40 anos. O sexo feminino foi o mais acometido tanto pela doença primária
quanto pela recorrente. Entre os sítios da cavidade bucal destacaram-se língua e gengiva para a
doença primária, e o vermelhão dos lábios para a secundária. Os sintomas mais freqüentes da
primoinfecção foram febre e dor, já nas lesões recorrentes, destacaram-se dor e ardência. Todos
os pacientes exibiram linfadenopatia. Analgésicos e antitérmicos foram as principais drogas
no tratamento da gengivoestomatite herpética primária, enquanto, para o herpes recorrente,
foram os anti-sépticos e antivirais.

UNITERMOS: herpes simples; herpes recorrente; herpes labial; estomatite herpética; herpesviridae

SUMMARY

The aim of this work was to investigate the epidemiological profile of Herpes simplex at
Stomatology Division of Hospital São Lucas-PUCRS. Records of 167 patients were reviewed:
98 (58,68%) of them were primary herpetic gingivostomatitis patients and 69 (41,32%) were
recurrent herpes patients. Age, sex, symptoms, anatomical sites affected, complications,
lymphadenopathy and treatment were analyzed. Results showed that 69,38% of primary
herpetic gingivostomatitis patients were under age of 21 years, while 41,42% of recurrent
herpes patients were between 21 and 40 years of age. Females were more affected than
males by both primary and secondary disease. The most commonly involved anatomical
sites were tongue and gums in primary herpetic gingivostomatitis and lip vermilion in
recurrent herpes. Fever and pain were the major symptoms in primoinfection as well as pain
and burning in recurrent lesions. Treatment most often employed for primary herpetic
gingivostomatitis included analgesics and antipyretics, but recurrent herpes was most often
treated with antiseptics and antiviral drugs.

UNITERMS: herpes simplex; recurrent herpes; herpes labialis; gingivostomatitis; herpesviridae.

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e-ISSN: 1980-6523

ISSN-L: 0102-9460

 

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