Case reportHerpetic geometric glossitis in an immunocompetent patient with pneumonia
Section snippets
Case report
A 59-year-old white woman presented with a 1-week history of shortness of breath, fevers, chills, sore throat, and nonproductive cough. Two days before admission, a chest radiograph showed bilateral pulmonary infiltrates and cephalexin was started. She returned to clinic with worsening symptoms, was found to be hypoxic, and was admitted to the hospital for further care.
Her medical history was significant for coronary artery disease, hyperlipidemia, peptic ulcer disease, multinodular goiter,
Discussion
Oral HSV may have a multitude of clinical presentations depending on the immunologic status of the host, age of the patient, and anatomic site of infection. It is well established that herpetic lesions in the immunocompromised hosts are often atypical both in morphology and location.1, 2, 3, 4, 5, 6, 7, 8 Lingual lesions of HSV infection usually appear on the back surface as single or multiple tender ulcers or vesicles that rapidly erode. It is now established that lingual HSV may also rarely
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Cited by (6)
Herpetic Geometric Glossitis in an Immunocompetent Patient
2023, Actas Dermo-SifiliograficasHerpetic geometric glossitis presenting as vegetative plaques in the context of acquired immunodeficiency syndrome
2021, JAAD Case ReportsCitation Excerpt :Of these atypical reactivations, HGG shows a characteristic branching pattern that resembles the dendritic corneal ulcers produced by HSV. Other clinical manifestations of HGG include papules, erythematous nodules, and ulcers over the tongue, all of which are associated with severe pain.1-3,7 During the evaluation of patients with chronic HIV infection and sudden development of oral lesions, it is important to rule out other infectious conditions, such as secondary syphilis.
Diseases of the tongue
2016, Clinics in DermatologyCitation Excerpt :Therapy should be initiated in the first 72 hours of onset. Herpetic geometric glossitis, a unique form of recurrent HSV infection described in 1993,62 is classically described as linear and symmetric striations and fissures of the dorsal aspect of the tongue in an immunocompromised individual, although there are rare reports of herpetic geometric glossitis in immunocompetent patients as well63 (Figure 7, b). This condition is characterized by exquisite tenderness and pain within the atrophic and uniquely branched and fissured lesions.62,64
Herpetic glossitis
2020, European Journal of DermatologyPainful lesions on the tongue
2016, Cutis
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Conflicts of interest: None declared.