Herpetic Gingivostomatitis
Herpes simplex virus
Valacyclovir (only if ≥ 3 months of age) 40mg/kg/day PO div BID (max 1000mg/dose) OR
Acyclovir 80mg/kg/day PO div QID (max dose 800mg)
Severe disease/inability to tolerate PO:
Acyclovir 30mg/kg/day IV div q8h (dose based on adjusted body weight if obese)
Empiric Therapy & Alternative Regimens
Duration of Therapy & Clinical Pearls
Treatment recommended with anti-viral therapy within 72-96 hours of disease onset if presenting with significant pain or decreased PO intake as trials have shown treatment significantly reduces duration of symptoms.
Complications include: Herpetic whitlow or herpetic keratitis from autoinoculation, bacterial superinfection, eczema herpeticum in patients with atopic dermatitis
DermNet NZ Visual Review of Stomatitis Differential
Length of Therapy: 5 days