Outcome of shared decision-making in a patient with primary herpes gingivostomatitis during pregnancy: a case report

被引:0
|
作者
Huang, C. Y. [1 ]
Chao, T. C. [1 ]
Chien, H. C. [2 ]
Liu, Y. L. [1 ,3 ,4 ,5 ]
机构
[1] Triserv Gen Hosp, Natl Def Med Ctr, Dept Obstet & Gynecol, 5F,325,Sect 2,Cheng Gong Rd, Taipei 114, Taiwan
[2] Natl Def Med Ctr, Dept Physiol & Biophys, Taipei, Taiwan
[3] Taipei Med Univ Hosp, Ctr Reprod Med, Taipei, Taiwan
[4] Taipei Med Univ, Taipei Med Univ Hosp, Dept Obstet & Gynecol, Div Infertil, Taipei, Taiwan
[5] Taipei Med Univ, Coll Med, Sch Med, Dept Obstet & Gynecol, Taipei, Taiwan
来源
关键词
Antiviral therapy; Herpes gingivostomatitis; Shared decision-making; Pregnancy; INFECTION; ACYCLOVIR; TWINS;
D O I
10.31083/j.ceog.2020.04.5311
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:604 / 606
页数:3
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