ENT infections (others)

Question 1

What are the presenting features of a herpes simplex virus type 1 infection ?

Answer 1

• Systemic upset
• Affects the lips, buccal mucosa, hard palate
• Causing Vesicles 1-2mm, Ulcers

Question 2

What is the treatment of a HSV type 1 infection?

Answer 2

Aciclovir

Question 3

After treatment what happens to HSV 1 ?

Answer 3

It establishes latency - it can then reactive as cold sores

Question 4

What is Herpangina and hand foot and mouth disease caused by?

Answer 4

Enteroviruses - cocksakie virus

Question 5

What is the presenting features of herpangina ?

Answer 5

Vesicles/ulcers on soft palate

Question 6

Who is most commonly affected by both herpangina and HSV type 1 infections ?

Answer 6

Pre-school aged kids

Question 7

How is HSV 1 infection, herpangina and hand foot and mouth disease all diagnosed ?

Answer 7

Swab of lesion in virus transport medium detection by PCR

Question 8

What are the presenting features of hand foot and mouth disease ?

Answer 8

• Mouth ulcers
• Spotty red rash and blisters commonly on the hands and feet

Question 9

Remember recurrent mouth ulcers can also be a sign of systemic disease - give some examples

Answer 9

• Coeliacs
• Inflam bowel disease
• Drug reactions etc

Question 10

What mouth sign can syphilis cause ?

Answer 10

• Can cause a chancre ulcer which is a painless ulcer at the sight of entry of Treponema pallidum
• Most commonly genital but can be seen in the mouth