16-2 Flashcards
3 common infections of the oral cavity?
Herpes Simplex Virus
Candida Albicans
Deep fungal infections
3 common infections of the oral cavity?
Herpes Simplex Virus
Candida Albicans
Deep fungal infections
HSV-1 commonly affects?
Orofacial region
HSV-2 commonly affects?
Genital region - not restricted to this though
How does a Herpes Simplex Virus infection present in children aged 2-4?
Asymptomatic or
Gingivostomatitis, fever, LAD
How does Herpes Simplex Virus infection present in children aged 2-4?
Asymptomatic or
Gingivostomatitis, fever, LAD
How does Herpes Simplex Virus infection present in adults?
Pharyngitis
How does Herpes Simplex Virus infection present in immunocompromised?
Chronic Mucocutaneous infection
Herpes Simplex Infection causes chronic mucocutaneous infection in?
Immunocompromised
Herpes Simplex Infection causes pharyngitis in?
Adults
What does Reactivation of HSV cause?
Recurrent Herpetic Stomatitis at site of primary inoculation
What does Reactivation of HSV look like?
(Herpetic Stomatitis)
Groups of small vesicles on lips and other oral surfaces
- Filled with clear fluid -> rupture -> painful, red ulcerations
What does Reactivation of HSV look like?
(Herpetic Stomatitis)
Groups of small vesicles on lips and other oral surfaces
- Filled with clear fluid -> rupture -> painful, red ulcerations
Where does Reactivation of HSV occur?
Site of primary inoculation
Herpetic Stomatitis usually clears within?
3-4 weeks
What test can test for HSV?
Tzanck
Tzanck test smears vesicle fluid and stains it. What will be detected if HSV is present?
(+) if acantholytic Keratinocytes detected
Acantholytic Keratinocytes detected on Tzanck test indicates?
HSV infection
What 3 things contribute to the likelihood of infection with Candida Albicans?
Immune status of patient
Strain of C. Albicans
Composition of oral microbiome
The pseudomembranous form of Candida Albicans is called?
Thrush
Describe Thrush
White membranes that can be scraped off revealing erythematous base
Describe Thrush
White membranes that can be scraped off revealing erythematous base
Thrush is composed of?
Matted organisms
Pseudohyphae, budding yeast on wet mount indicate?
Candida Albicans
What is predisposing factor for deep fungal infections?
Immunocompromised
Example of a deep fungal infection?
Rhinocerebral mucormycosis
What causes Hairy Leukoplakia?
EBV in immunocompromised patients
Describe Hairy Leukoplakia
White, fluffy patches on the LATERAL border of the tongue that CANNOT be scraped off
Describe Hairy Leukoplakia
White, fluffy patches on the LATERAL border of the tongue that CANNOT be scraped off
Hairy Leukoplakia has a distinctive microscopic appearance. Describe it.
Hyperkeratosis, acanthosis and balloon cells in upper spinous layer
Hyperkeratosis, acanthosis and balloon cells in upper spinous layer indicate?
Hairy Leukoplakia
Red, strawberry tongue with prominent papillae
Scarlet fever
Koplik spots
Measles
Pharyngitis with gray-white exudate, cervical LAD and palatal petechiae
Infectious Mononucleosis
Pharyngitis with gray-white exudate, cervical LAD and palatal petechiae
Infectious Mononucleosis
Dirty, white, tough membrane over tonsils and retropharynx
Diptheria
Dirty, white, tough membrane over tonsils and retropharynx
Diptheria
Herpes, candida, hairy leukoplakia, kaposi sarcoma
HIV