The treatment of Covid tongue in an isolation unit

Dwi Setianingtyas (Faculty of Dentistry, Hang Tuah University, Surabaya Dental Department of Dr. Ramelan Naval Hospital, Surabaya)
N. Nafiah (Faculty of Dentistry, Hang Tuah University, Surabaya Dental Department of Dr. Ramelan Naval Hospital, Surabaya)
Cane Lukisari (Faculty of Dentistry, Hang Tuah University, Surabaya Dental Department of Dr. Ramelan Naval Hospital, Surabaya)
Paulus Budi Teguh (Faculty of Dentistry, Hang Tuah University, Surabaya Dental Department of Dr. Ramelan Naval Hospital, Surabaya)
Felicia Eda Haryanto (General Practioner, Dental Clinic, Samarinda)
Erni Marlina (Faculty of Dentistry, Hasanuddin University, Makassar)

Dental Journal (Majalah Kedokteran Gigi)
Vol. 54 No. 3 (2021): September 2021

Background: In 2019, a viral disease spread from Wuhan, Hubei Province in China. The disease was caused by severe acute respiratory syndrome related to coronavirus 2 (SARS-CoV-2 virus), which was named by the Coronavirus Study Group of the International Committee on Taxonomy of Viruses. Purpose: This article reports the multi-discipline treatment of Covid tongue and exfoliative cheilitis with a main diagnosis of bilateral pneumonia caused by SARS-CoV-2 infection. Case: A female patient, 70 years old was referred with a diagnosis of bilateral pneumonia by a pulmonologist. She complained of painful wounds all over her mouth. An intraoral clinical examination revealed white-thick lesion and multiple ulcerations, whilst an extraoral exam for exfoliative dermatitis has not been described. The working diagnosis was Covid tongue mixed with exfoliative cheilitis. Case management: The procedure was performed by teledentistry and direct visits to implement oral health care by asepsis, debridement and the application of Oxygene gel. Conclusion: The lesion was treated successfully due to the multidisciplinary approaches by an internist and pulmonologist by implementing integrated knowledge and was supported hugely by patient cooperation.