Document 0578
 DOCN  M94A0578
 TI    Necrotising ulcerative stomatitis in association with necrotising
       ulcerative periodontitis in a HIV infected male.
 DT    9412
 AU    Coates E; Gorkic E; Rogers G; Goss AN; Restorative Unit, Adelaide Dental
       Hospital, S.A.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:97 (poster no. 45).
       Unique Identifier : AIDSLINE ASHM5/94349077
 AB    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.
 DE    Adult  Antibiotics/ADMINISTRATION & DOSAGE  AIDS-Related Opportunistic
       Infections/*THERAPY  Case Report  Combined Modality Therapy  Dental Care
       Gingivitis, Necrotizing Ulcerative/*THERAPY  Human  Male
       Periodontitis/*THERAPY  MEETING ABSTRACT

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