Necrotising ulcerative stomatitis in association with necrotising ulcerative periodontitis in a hiv infected male

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Necrotising ulcerative stomatitis in association with necrotising ulcerative periodontitis in a hiv infected male

Authors

Elizabeth A Coates¹,
Edward Gorkic¹,
G Rogers¹,
Alastair N Goss²

Organisations

Adelaide Dental Hospital¹,
The University of Adelaide²

Year

1993

Excerpt

A 21-year-old Caucasian male presented with acute and severe necrotising oral infection. He had been diagnosed HIV positive two months previously. His CD4 count was 726, and he was not taking any medication related to his HIV infection. He was a homosexual IV drug user.

Immediate Antibiotic therapy was instituted with good relief of symptoms within 24 hours. Subsequent dental treatment, including sequestrectomy, tooth extraction and periodontal treatment resulted in complete resolution of symptoms. He is currently well.

Severe oral disease may be the first clinical manifestation of HIV infection. Early diagnosis, aggressive oral treatment and antibiotics resulted in resolution of symptoms. Oral health care screening and dental advice at the time of HIV diagnosis may have prevented these conditions from developing.