Report a possible correlation between necrotizing ulcerative gingivitis and mononucleosis

Authors

  • Rosa Francinne Miranda School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS
  • Adriana Jou School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS
  • Fábio Vieira de Miranda School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS
  • Pantelis Varvaki Rados School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS
  • Márcia Oliveira Gaiger School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS
  • Anna Chaves Cecília Moraes School of Dentistry. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS

Keywords:

gingivitis, necrotizing ulcerative, infectious mononucleosis, clinical pathology.

Abstract

Necrotizing ulcerative gingivitis is a relatively uncommon periodontal disease,
characterized by ulceration, necrosis, pain and gingival bleeding. Factors often
related to its occurrence include stress and systemic viral infections, such as those
caused by cytomegalovirus and Epstein-Barr virus type 1, the latter being also
considered the causative agent of infectious mononucleosis. This article aims to
describe a clinical case of a female patient who presented with necrotizing
ulcerative gingivitis associated with a clinical picture of infectious mononucleosis, as
well as to review the literature concerning a possible correlation between these
pathologies. This patient presented to our health care facility with necrotizing
ulcerative gingivitis accompanied by lymphadenopathy, fever and prostration, after
laboratory tests, Epstein-Barr virus type 1 infection was confirmed, as well as the
co-occurrence of pathologies: necrotizing ulcerative gingivitis and infectious
mononucleosis. Symptom remission in both disorders also occurred concomitantly,
after instruction in plaque control measures and palliative medication for control of
systemic symptoms. Therefore, although there is no scientific validation of an
association between these two pathologies, it is imperative that all diagnostic
alternatives be considered and investigated, in order to establish the therapeutic
approach most appropriate to the patient.

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Published

2011-10-19

How to Cite

1.
Miranda RF, Jou A, Vieira de Miranda F, Varvaki Rados P, Oliveira Gaiger M, Chaves Cecília Moraes A. Report a possible correlation between necrotizing ulcerative gingivitis and mononucleosis. Rev Cubana Estomatol [Internet]. 2011 Oct. 19 [cited 2025 Mar. 13];48(4):404-9. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2739

Issue

Vol. 48 No. 4 (2011): OCT- DEC

Section

Case Report

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