Painful sores in a young boy's mouth. Herpetic stomatitis.

摘要

The patient was a 7-year-old boy who presented with painful sores in his mouth. Three days before presentation, the patient complained to his mother that his mouth felt extremely painful. He said the pain was worse when he ate or drank. On examination, his mother noticed multiple small ulcers all over the inside of the boy's mouth. She administered an OTC oral anesthetic spray, but this did not relieve the pain. The patient had no associated fever, chills, headache, rash, sore throat, nasal congestion, or cough. He had not been exposed to any sick contacts. No other family members had similar oral lesions. The patient had been healthy before the onset of the ulcers. He was up to date on his childhood vaccina-