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Infectious Disease

With Oral Manifestations

TermDefinition
Actinomycosis infection cause by filamentous bacterium, draining abcesses and tx is long-term, high doses of antibiotics
Syphilis organisms die when exposed to air and changes in temperature, transmitted by direct contact, sexual contact, transfusion of infected blood to a fetus from infected mother
Secondary stage of Syphilis diffuse eruptions occur on skin and mucouse membranes, mucous patches, may have spontaneous remission by may recur for months or years
Primary stage of Syphilis Chancre
Tertiary stage of Syphilis involves the cardiovascular system and nervous system, gumma forms
Gumma firm mass, noninfectious, destructive lesion resulting in perforation of palatal bone
Congenital Syphilis can cross the placenta and enter fetal circulation, cause serious irreversible damage to the child, including facial and dental abnormalities
What is the diagnosis and treatment of Syphilis Blood tests include a venereal disease research laboratory test and fluoresent treponemal antibiody absorption, Penicillin is the tx
Necrotizing Ulcerative Ginigvitis (NUG) erythematous gingivitis with necrosis of interdental papilla
What is the treatment of NUG gentle debridement, antibiotics if fever is present
What is the diagnosis of NUG Necrosis, catering of interdental papilla, sloughing of necrotic tissue, pseudomembrane forms over the tissue
Acute Osteomylitis acute inflmmation of the bone marrow and bone. result of a periapical abcess, may result from bacteremia
Acute Osteomyelitis Diagnosis nonviable bone, necrotic debris, acute inflammation, bacterial colonies in marrow spaces. Drainage of purulent exudate, antibiotics
Chronic Osteomyelitis long standing inflammation of bone, bone painful and swollen, radiographs reveal a diffuse and irregular radiolucency that can become opaque
Treatment of Chronic Osteomylitis debridment, administration of systemic antibiotics, some patients require hyperbaric treatment
Candidiasis Denture Stomatitis (Chronic Atropic Candidiasis) most common type, mucosa is erythematous, coomon on palate and maxillary ridge, size depends on partial or denture Chronic Hyperplastic Candidiasis (Candidal Leukoplakia) white lesion tha result from antibiotics, cancer chemotherapy, coritocsteriod therapy, dentures, diabetes, HIV infection, infancy, etc. Can be identified by scraping of the lesion
Pseudomembranous Candidiasis white curdlike material on mucosal surface, mucosa is erythematous, burning sensation or metallic taste
Erythematous Candidiasis erythematous often painful mucosa, can be localized or generalized
Denture Stomatitis (Chronic Atropic Candidiasis) most common type, mucosa is erythematous, coomon on palate and maxillary ridge, size depends on partial or denture
Chronic Hyperplastic Candidiasis (Candidal Leukoplakia) white lesion that does not wipe off, responds to antifungal medication, if it doesn't respond to medication it should be biopsied
Angular Cheilitis erythema or fissuring at the labial commisures
Chronic Mucocutaneous Candidiasis occurs in pt.'s that are severly immunocompromised, the pt. has chronic oral and genital mucosal candidasis as well as skin lesion
Deep Fungal Infections oral lesions are a result of this. May involve the lungs and there is a regional distribution of the lesions
Mucormycosis (Phycomycosis) rare fungal infection, occur with diabetic and debilitated patients, can be a proliferating or destructive mass in the maxilla
Verruca Vulgaris (Common Wart) papillary oral lesion. transferred from skin to oral mucosa by finger sucking or fingernail biting, white, papillary exophytic lesion that resembles a papilloma
Condyloma Acuminatum benign lesion caused my HPV, transmitted by sexual contact, papillary bulbous pink masses that can occur anywhere in the oral mucosa
Focal Epithelial Hyperplasia (Heck Disease) multiple whitish to pale pink nodules distributed throughout the oral mucosa, more common in children, resolves itself in a few weeks.
Type 1 Herpes Simplex is caused by what? oral infections
Type 2 Herpes Simplex is caused by what? genital infections
Primary Herpetic Gingivostomatitis painful, erythematous, and swollen gingiva and multiple tiny vesicles on perioral skin, vermillion boarder of lips and oral mucosa. Progress to form ulcers. occurs in children
Recurrent Herpes Simplex Infection persistent and latent, usually in nerve tissue ov the trigeminal ganglion
Recurrent Herpes Simplex Infection (Cold Sore or Fever Blister) common location are on the lips, infection is caused by stress, sunlight, menstruation, fatigue, and fever
Herpetic Whitlow a painful infection of the fingers caused by a primary or secondary infection
Varicella-Zoster Virus chickenpox and shingles, respiratory aerosols and contact with secretions from skin lesions, VERY CONTAGIOUS
Herpes Zoster Shingles secondary chickenpox in an adult, painful eruptions of vesicles along the sensory nerve
Epstein-Barr Virus Infectious Mononucleosis sore throat, fever, fatique, petechiae on palate, etc...can be transmitted by kissing
Epstein-Barr Virus Hairy Leukoplakia irregular, corrugated, white lesion occuring on the lateral boarder on the tongue
Coxsackie Virus Infection fecal oral contamination, saliva, and respiratory droplets, also known as herpangina, hand foot and mouth disease etc.
Coxsackie Virus Infection Herpangina fever, sore throat, vesicles on the soft palate, erythematous pharyngitis, can resolve in 1 week without treatment
Coxsackie Virus Infection Hand Foot and Mouth Disease occurs in children less than 5 years old. multiple macules or papules occur on the skin, typically the feet, toes, hands and fingers, oral lesions are painful vesicles that occur in the mouth
Coxsackie Virus Infection Acute Lymphonodular Pharyngitis fever, sore throat, mild headache, hyperplastic lymphoid tissue of the soft palate or tonsils appear yellow or dark pink nodules, Lasts several days 2 weeks no tx required.
Measles highly contagious disease causing systemic symptoms and a skin rash, koplik spots, small macules, occur in the oral cavity
Mumps viral infection of the salivary glands, bilateral swelling of the parotid glands
Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) transmitted by sexual contact, blood and blood products, infected mothers to infants
HIV may not have an symptoms or signs of disease for some time. progressive immunodeficiency develops, immune system becomes deficient causing life threatening opportunistic infections and cancers
Diagnosing AIDS HIV infection with sever lymphocyte depletion
Clinical Manifestations of AIDS asymptomatic, lymphadenopathy, acute illness resembling mononucleosis, infects cells of immune system, oral candidiasis, fatigue, weight loss
HIV Human Immunodeficiency Virus
AIDS Acquired Immunodeficiency Syndrome
Oral Candidiasis (Thrush) antifungal medications, recurrence is common, HIV pt.'s signals the beginning of severe immunodeficiency
T/F: An ulceration resulting from herpes simplex that has been present for more than 1 month meet the criteria for the diagnosis of AIDS True
Hairy Leukoplakia predictor of AIDS in HIV pt.'s, chronic tongue chewing can produce a similar lesion. No tx
Lymphoma biopsy, histologic examination, tx with chemotherapeutic drugs
Linea Gingival Erythema (LGE) spontaneous bleeding, punctuate or petechiae-like lesions on attached gingiva and alveolar mucosa
Created by: turner16
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