The treatment of Covid tongue in an isolation unit

Dwi Setianingtyas, N. Nafiah, Cane Lukisari, Paulus Budi Teguh, Felicia Eda Haryanto, Erni Marlina

Abstract views = 363 times | downloads = 144 times


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.


Covid-19; oral health care; Covid tongue

Full Text:



Bergmann CC, Silverman RH. COVID-19: Coronavirus replication, pathogenesis, and therapeutic strategies. Cleve Clin J Med. 2020; 87(6): 321–7.

Aiello F, Gallo Afflitto G, Mancino R, Li J-PO, Cesareo M, Giannini C, Nucci C. Coronavirus disease 2019 (SARS-CoV-2) and colonization of ocular tissues and secretions: a systematic review. Eye. 2020; 34(7): 1206–11.

Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, Li T, Chen Q. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020; 12: 8.

Pérez-Sayáns M, Ortega KL, Braz-Silva PH, Martín Carreras-Presas C, Blanco Carrión A. Can “COVID-19 tongue” be considered a pathognomonic finding in SARS-CoV-2 infection? Oral Dis. 2021; 00: 1–2.

dos Santos JA, Normando AGC, da Silva RLC, de Paula RM, Cembranel AC, Santos-Silva AR, Guerra ENS. Oral mucosal lesions in a COVID-19 patient: New signs or secondary manifestations? Int J Infect Dis. 2020; 97: 326–8.

Galván Casas C, Català A, Carretero Hernández G, Rodríguez-Jiménez P, Fernández-Nieto D, Rodríguez-Villa Lario A, Navarro Fernández I, Ruiz-Villaverde R, Falkenhain-López D, Llamas Velasco M, García-Gavín J, Baniandrés O, González-Cruz C, Morillas-Lahuerta V, Cubiró X, Figueras Nart I, Selda-Enriquez G, Romaní J, Fustà-Novell X, Melian-Olivera A, Roncero Riesco M, Burgos-Blasco P, Sola Ortigosa J, Feito Rodriguez M, García-Doval I. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases. Br J Dermatol. 2020; 183(1): 71–7.

Ruslijanto H, Amtha R, Meiyanti, Marwati E, Febrina S. Obat topikal untuk lesi mulut: pemilihan dan cara aplikasi. Jakarta: EGC; 2019. p. 31–44.

Dal’Belo SE, Gaspar LR, Maia Campos PMBG. Moisturizing effect of cosmetic formulations containing Aloe vera extract in different concentrations assessed by skin bioengineering techniques. Skin Res Technol. 2006; 12(4): 241–6.

Setiadhi R, Firman DR. Obat di bidang penyakit mulut dan penulisan resepnya. Bandung: Unpad Press; 2017. p. 1–61.

Jawad H, Hodson NA, Nixon PJ. A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 1. Br Dent J. 2015; 218(2): 65–8.

Argoff CE, Kaur M, Donnelly K. Topical analgesics. In: Deer TR, Leong MS, Gordin V, editors. Treatment of chronic pain by medical approaches. New York: Springer; 2015. p. 77–87.

Al-Hashimi I, Schifter M, Lockhart PB, Wray D, Brennan M, Migliorati CA, Axéll T, Bruce AJ, Carpenter W, Eisenberg E, Epstein JB, Holmstrup P, Jontell M, Lozada-Nur F, Nair R, Silverman B, Thongprasom K, Thornhill M, Warnakulasuriya S, van der Waal I. Oral lichen planus and oral lichenoid lesions: diagnostic and therapeutic considerations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103 Suppl: S25.e1-12.

Imai K, Tanaka H. SARS-CoV-2 infection and significance of oral health management in the era of “The new normal with COVID-19”. Int J Mol Sci. 2021; 22(12): 6527.

Coke CJ, Davison B, Fields N, Fletcher J, Rollings J, Roberson L, Challagundla KB, Sampath C, Cade J, Farmer-Dixon C, Gangula PR. SARS-CoV-2 infection and oral health: Therapeutic opportunities and challenges. J Clin Med. 2021; 10(1): 156.

La Rosa GRM, Libra M, De Pasquale R, Ferlito S, Pedullà E. Association of viral infections with oral cavity lesions: role of SARS-CoV-2 infection. Front Med. 2021; 7: 571214.


  • There are currently no refbacks.

View My Stats