Infection: Oral Lesions of Infection Flashcards

1
Q

Diseases of significance in the head and neck are caused by what two types of bacteria?

A

Strep and staph

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2
Q

What diseases are caused by staph and strep?

A
  • Impetigo
  • Erysipelas
  • Strep tonsilitis & pharyngitis
  • Scarlet Fever
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3
Q

Impetigo Etiology

A

Staph Aureus +/- coinfection with Strep Pyogenes

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4
Q

Nonbullous impetigo is ___ more common and usually a mix of what two bacteria?

A

70%; Mix of strep and staph

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5
Q

Nonbullous impetigo characteristics

A
  • School aged children
  • Infection peaks in hot moist climates
  • Usually on the lower extremities but can affect head and neck
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6
Q

Nonbullous impetigo Clinical Appearance progression

A

Red macules or papules -> fragile vesicles -> vesicles rupture and form an amber crust

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7
Q

Nonbullous impetigo buz word

A

Corn flakes glued to the surface

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8
Q

Nonbullous impetigo diagnosis

A

Based on clinical appearance

Exfoliative cheilitis, recurrent herpes simplex

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9
Q

Nonbullous impetigo sympatoms

A

Common: Pruiritis
Uncommon: Lymphangitis, cellulitis, fever

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10
Q

Bullous Impetigo is ____ common; what type of of bacteria?

A

Less; Staph aureus

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11
Q

Bullous Impetigo typically affects what parts of the body?

A

Extremities, trunk and face

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12
Q

Bullous Impetigo: What age group is affected?

A

Infants and newborns

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13
Q

Bullous Impetigo Clinical Appearance Progression

A

Superficial vesicles -> rapidly enlarge to form larger flaccid bullae -> fluid becomes purulent -> rupture and become covered with this crust termed “lacquer”

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14
Q

Bullous Impetigo Rare Complications

A

LAD, cellulitis, meningitis, PNA

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15
Q

Both types of impetigo have

A

Higher prevalence in adult patients with severe systemic conditions including HIV, DM2, Dialysis

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16
Q

Impetigo Dx

A

Based on clinical appearance, though if no response to standard therapy in 7 days culture to confirm

17
Q

Impetigo Tx

A

Typically referral to primary care for definitive treatment.

18
Q

Non-bollous impetigo with few lesions Tx

A

Topical antibiotic

19
Q

Bullous or more extensive lesions Tx

A

Systemic antibiotic (1 week course cephalexin, dicloxacillin, or amoxicillin-clavulanic acid)