Gingivostomatitis in pediatric patients with SARS-CoV-2 infection Gingivoestomatitis en paciente pediátrico con infección por SARS-CoV-2.

Abstract

Introduction: in SARS-CoV-2 infection, clinical otorhinolaryngologic and maxillofacial manifestations are the least frequent. The most reported include ulcerative lesions, vesicles, enanthema, gingival involvement and even acute otitis media, conjunctivitis, and parotiditis. Case presentation: a 33-months-old male patient, with no relevant history who was brought to the clinic for presenting with fever, cough, and odynophagia. Physical examination revealed hyperthermia, conjunctival hyperemia, oral aphthous ulcers and gingival bleeding. Diagnostic workup evidenced hypochromic microcytic anemia, normal coagulation times, slightly elevated LDH and positive RT-PCR test for SARS-CoV-2. He was hospitalized and monitored for 4 days, with adequate progression and subsequent discharge. Discussion: otorhinolaryngologic and maxillofacial manifestations are the least frequent, however, it has been evidenced that they can generate multiple compromises within this system, however, so far, no cases of COVID-19-related gingivostomatitis have been reported. Conclusions: oral manifestations can be considered atypical symptoms, since other pathological possibilities that could generate such symptomatology were ruled out.