Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report
Purpose: The authors present the case of a woman in the 20th week of pregnancy with herpes simplex virus (HSV)-related gingivostomatitis. They also provide information regarding the benefits and risks of acyclovir, valacyclovir, famciclovir, and shared decision-making (SDM) through which valacyclovi...
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| Format: | Article |
| Language: | English |
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IMR Press
2020-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5311 |
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| author | C.Y. Huang T.C. Chao H.C. Chien Y.L. Liu |
| author_facet | C.Y. Huang T.C. Chao H.C. Chien Y.L. Liu |
| author_sort | C.Y. Huang |
| collection | DOAJ |
| description | Purpose: The authors present the case of a woman in the 20th week of pregnancy with herpes simplex virus (HSV)-related gingivostomatitis. They also provide information regarding the benefits and risks of acyclovir, valacyclovir, famciclovir, and shared decision-making (SDM) through which valacyclovir was selected. Case Report: A 26-year-old primigravida woman who denied having a history of systemic diseases presented with fever, general malaise, and abdominal pain at 20 weeks of gestation. As no strong evidence supports any current treatment for primary maternal HSV-1 gingivostomatitis during pregnancy, the authors used three key steps of SDM, namely choice talk, option talk, and decision talk, to help the patient make a decision based on the benefits and ill-effects of treatment with acyclovir, valacyclovir, and famciclovir. Valacyclovir was administered for one week. Her general condition improved gradually, and the symptoms abated without recurrence of fever. Conclusions: Thus, SDM-based treatment was effective in this patient. |
| format | Article |
| id | doaj-art-1f4cb0d1e1944ff6b225bafcf065af11 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-1f4cb0d1e1944ff6b225bafcf065af112025-08-20T02:04:34ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-08-0147460460610.31083/j.ceog.2020.04.5311S0390-6663(20)00327-9Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case reportC.Y. Huang0T.C. Chao1H.C. Chien2Y.L. Liu3Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Physiology and Biophysics, National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanPurpose: The authors present the case of a woman in the 20th week of pregnancy with herpes simplex virus (HSV)-related gingivostomatitis. They also provide information regarding the benefits and risks of acyclovir, valacyclovir, famciclovir, and shared decision-making (SDM) through which valacyclovir was selected. Case Report: A 26-year-old primigravida woman who denied having a history of systemic diseases presented with fever, general malaise, and abdominal pain at 20 weeks of gestation. As no strong evidence supports any current treatment for primary maternal HSV-1 gingivostomatitis during pregnancy, the authors used three key steps of SDM, namely choice talk, option talk, and decision talk, to help the patient make a decision based on the benefits and ill-effects of treatment with acyclovir, valacyclovir, and famciclovir. Valacyclovir was administered for one week. Her general condition improved gradually, and the symptoms abated without recurrence of fever. Conclusions: Thus, SDM-based treatment was effective in this patient.https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5311antiviral therapyherpes gingivostomatitisshared decision-makingpregnancy |
| spellingShingle | C.Y. Huang T.C. Chao H.C. Chien Y.L. Liu Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report Clinical and Experimental Obstetrics & Gynecology antiviral therapy herpes gingivostomatitis shared decision-making pregnancy |
| title | Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report |
| title_full | Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report |
| title_fullStr | Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report |
| title_full_unstemmed | Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report |
| title_short | Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report |
| title_sort | outcome of shared decision making in a patient with primary herpes gingivostomatitis during pregnancy a case report |
| topic | antiviral therapy herpes gingivostomatitis shared decision-making pregnancy |
| url | https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5311 |
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