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