QUIZ 4 Oral Microbiology Flashcards
describe the clinical presentation of impetigo
amber colored crusts generally found on the face, near the mouth
cases generally arise in damaged skin
what are the bacterial causes of impetigo?
- streptococcus pyogenes
- staphylococcus aureus
impetigo has increased prevalence in what 3 populations?
HIV, type 2 diabetes, dialysis
describe tonsillitis and pharyngitis
- “strep throat”
- group A beta hemolytic streptococci, influenza, epstein-barr virus
- majority caused by virus
what are the signs and symptoms of tonsillitis and pharyngitis?
sore throat, dysphagia, tonsillar hyperplasia, fever, headache
how do you diagnose streptococcal pharyngitis and tonsillitis? what is the treatment?
- throat culture
- treatment - penicillin
what is the sequelae of streptococcal pharyngitis and tonsillitis?
*sequelae means what can happen if it is not treated*
- scarlet fever
- rheumatic fever
- rheumatic heart disease
- acute glomerulonephritis
in the clinical presentation of scarlet fever, what does the tongue resemble?
a strawberry
what is scarlet fever caused by?
- disseminated group A beta-hemolytic streptococcal infection
- aka untreated streptococcal pharyngitis and tonsillitis
what are the oral features of scarlet fever?
- first 2 days: white strawberry tongue - white coating with only visible fungiform papillae
- 4-5 days: red strawberry tongue - erythematous dorsal surface with hyperplastic fungiform papillae
what is diphtheria?
- cornebacterium diphtheriae
- humans are sole reservoir
- affects mucosal tissues first
- tissue necrosis and cardiac complications
- lethal exotoxin produced by bacteria
what is the clinical presentation of diphtheria?
white pseudomembrane usually found towards the back of the throat near the uvula
what is syphilis caused by?
treponema pallidum
how is syphilis contracted?
primarily through sexual contact and from mother to fetus (congenital syphilis)
syphilis is 6x more common in what populations?
men and african americans
what is primary syphilis?
- characterized by the chancre that develps at the site of inoculation (3-90 days after inoculation)
- painless ulceration
what is gumma?
- characteristic of syphillis (tertiary stage)
- scattered foci of granulomatous inflammation (type of necrosis)
- intraoral lesions usually affect the palate or tongue