Herpetic Geometric Glossite Case: A Rare Oral Herpetic Appearance

Introduction: Herpes simplex virus (HSV) oral lesions are seen in the labial and oral. Herpetic glossitis is a rare form and is detected especially in immunocompromised patients. Here, we report a case of bronchiectasis followed by systemic steroid treatment and suggesting herpetic geometric glossitis. Case: A 50-years-old male patient was diagnosed with bronchiectasis and pneumonia. White plaques were found on the tongue after systemic steroid (Prednisolone 40 mg) was added to the patient's current treatment. White plaques on the tongue were evaluated in favor of candidiasis and fluconazole treatment was started. On the third day of fluconazole treatment, geometric shaped erosion, fissured and painful plaques were observed on the dorsal tongue. Valaciclovir treatment was started considering herpes infection. All lesions were regressed after 14 days of treatment. Conclusion: Herpetic geometric glossitis is a rare disease that should be kept in mind in painful lesions of the tongue in immunosuppressed patients. We think that this case is a reminder in the literature because it is presented as rare cases and prolongation of treatment is important in treatment response