Infectious Disease Compendium

Stomatitis

Diagnosis

Inflammation of the mouth. A variety of causes: Alcohol, chemotherapy, dehydration, hematologic malignancies, infections, loose-fitting dental dentures, medications, poor dental hygiene, radiation, smoking, trauma,

Epidemiologic Risks

Chemotherapy commonly causes stomatitis that can be a portal of entry for infections.

In children, there is a Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis (PFAPA) Syndrome (PubMed)

Microbiology

Viral most common: Herpes simplex virus (Herpes gingivostomatitis), Coxsackie virus (herpangina, hand-foot-mouth-disease), chickenpox and EBV.

Vesicular Stomatitis Virus

Necrotizing ulcerative gingivitis/periodontitis aka Vincents aka trench mouth: mostly anaerobic bacteria and Fusobacterium.

Candida with dentures.

Empiric Therapy

It depends on the cause. Usually symptomatic.

Pearls

Lizards get mouth rot. Like Blue Tongue Skink Mouth Rot. Ick. (PubMed)

Last Update: 02/14/19.