Oro-facial infections Flashcards

1
Q

Are bacterial or viral pharyngitis infections more common?

A

Viral

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2
Q

Name 3 bacteria that commonly use pharyngitis

A

Beta haemolytic streptococci
C. diphtheria
C. ulcerans

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3
Q

Describe the difference between alpha, beta and gamma haemolytic streptococci on agar

A

Alpha = partial haemolysis = green
Beta = full haemolysis = clear
Gamma =no haemolysis = no reaction

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4
Q

If patient culture shows streptococcus infection what should you treat them with?

A

Systemic antibiotic therapy

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5
Q

What are the risks associated with streptococci such as S. pyogenes?

A

Infection control hazard

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6
Q

What are the complications of S. pyogenes infection?

A

Quinsy
Scarlet fever
Systemic sepsis

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7
Q

How does scarlet fever present?

A

In children causing strawberry tongue and sandpaper-like skin rash

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8
Q

What is the effect of C. diphtheriae infection?

A

Diptheria toxin causing inhibitor of protein synthesis

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9
Q

What type of bacteria are arcanobacterium haemolytic?

A

Gram positive bacillus

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10
Q

Arcanobacterium haemolytic bacterium appear similar to beta haemolytic streptococci on agar, how can you distinguish?

A

Gram stain
Arcano = positive
strep = negative

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11
Q

Peritonsillar abscess (quinsy) are often caused by what bacteria?

A

Streptococcus group A (S. pyogenes)

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12
Q

Why should patients with quinsy be isolated?

A

Most likely have a group A streptococci infection which is highly infective and an infection control hazard

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13
Q

Is gonorrhoea gram-positive or negative?

A

Negative

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14
Q

Gonorrhoea is fastidious, what does this mean?

A

Hard to culture

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15
Q

What bacteria causes syphilis?

A

Treponema pallidum

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16
Q

How is syphilis transmitted?

A

Sexually transmitted

17
Q

How can syphillis present orally?

A

Lesions on tongue ring-like

18
Q

How is syphilis diagnosed?

A

Serology tests, PCR using swabs

19
Q

How does mycobacterium tuberculosis infection present orally?

A

Pain and ulceration in posterior part of mouth secondary to pulmonary infection

20
Q

How does a viral infection of salivary glands present?

A

Mumps

21
Q

What is associated with bacterial infections of salivary gland infections?

A

Reduced salivary flow, abnormal anatomy, blockages