Chapter 4 Infectious disease

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  1. Humoral immunity with production of ________ is a major defense again microorganisms.
    Cell mediated immunity is effective against ________.
    • antibodies
    • intracellular bacteria, viruses and fungi
  2. What is IMPETIGO, what is it caused by, who is it usually seen in, what is it treated with and what are some characteristics
    • Bacterial skin infection caused by Strep pyogenes and Staph aureus
    • Usually seen in young children
    • Treated with antibiotics such as cephalexin
    • Characteristic weeping, golden, crusted eruption on an erythematous base
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  4. _____ pharyngitis (____%) is more common than ________
    • Viral
    • 70
    • type A beta-hemolytic strep throat (30%)
  5. Beta-hemolytic strep throat may advance into ________ in children which may include a ______ and _______ and ________
    • scarlet fever
    • skin rash
    • “strawberry tongue,”
    • petechiae on the palate.
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    Beta-hemolytic strep throat “strawberry tongue,”
  7. TUBERCULOSIS is a chronic _______ infection of the lungs caused by the bacteria _________. The chief form of the disease is a ________.
    • granulomatous
    • Mycobacterium tuberculosis
    • primary infection of the lung
  8. What are some Symptoms of active TB Infection
    Fever, chills, fatigue, malaise, weight loss and persistent cough
  9. Diagnosis of active TB is based on a biopsy of oral lesions which show areas of ______ surrounded by _______ , _________, and ________
    • necrosis
    • lymphocytes, macrophages and Multinucleated giant cells(granuloma)
  10. When the Mycobacterium tuberculosis bacteria infect the kidneys and liver it’s called _______.
    miliary tuberculosis
  11. Involvement of the submandibular and cervical lymph nodes in TB is called ________.
    scrofula or tuberculous lymphadenitis
  12. Oral lesions of tuberculosis most commonly appear on the
    tongue or palate and appear as painless ulcers which don’t heal
  13. What is ACTINOMYCOSIS, what causes it and what does it cause
    Infection caused by Actinomycosis israelii, a normal part of our oral flora. Causes abscesses that drain through sinus tracts
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  15. In ACTINOMYCOSIS the bacteria appear in the pus as _______ and are called ______ due to their color
    • calcified yellow colonies
    • sulfur granules
  16. SYPHILIS is an infection caused by _________ and is transmitted by ________.
    • Treponema pallidum
    • direct contact between people
  17. SYPHILIS has __ stages:Primary lesion is called a ____ and is highly infectious. Occurs ____ weeks after infection
    • 3
    • chancre
    • 2 to 4
  18. The Secondary stage of SYPHILIS occurs about ___ weeks after primary lesion occurs. In which oral lesions appear as white plaques called _______.
    • 6
    • mucous patches
  19. What is the most infectious stage of SYPHILIS
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    Mucous patches in the secondary stage of syphilis
  21. The Tertiary stage of SYPHILIS occurs _____ after the initial infection. Usually involves the ________ system.
    • years
    • cardiovascular system and central nervous
  22. The tertiary stage of syphilis produces a lesion called a ________ that is ______ but _______
    • gumma
    • noninfectious
    • destructive
  23. Congenital syphilis infection causes severe problems such as
    blindness, deafness and dental problems (Hutchinson’s Triad) such as enamel hypoplasia (screwdriver incisors, mulberry molars.
  24. SYPHILIS diagnosis is based on microscopic examination of the spirochetes using _____. Also use of _____ blood test. Treatment consists of ______.
    • dark-field examination
    • VDRL
    • penicillin
  25. NUG – necrotizing ulcerative gingivitis is a painful erythematous gingivitis in which there is _______. Caused by a spirochete _______ and _______.
    • necrosis of the interdental papilla
    • (Borrelia vincentii) and Prevotella intermedia
  26. NUG is painful and usually accompanied by _______.
    Treated is by ________.
    • bad odor (fetid), fever and lymphadenopathy
    • debridement, Flagyl, Chlorhexidine rinse
  27. ACUTE OSTEOMYELITIS is an acute infection of the _______ usually occurring following a ___________.
    • bone and bone marrow
    • periapical abscess
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  29. What is the most common oral fungal infection
    CANDIDIASIS or moniliasis or thrush
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    Pseudomembranous candidiasis
  32. Describe Pseudomembranous candidiasis
    • white curd-like material present on mucosa (like cottage cheese)
    • White plaques can rub off leaving a red, painful surface
  33. What is the most common form and type of candidiasis
    • Erythematous
    • Chronic atrophic
  34. Describe Chronic hyperplastic candidiasis and how is it diagnosed
    • appears as a white lesion that does not wipe off
    • use of oral antifungal medication (therapeutic diagnosis)
  35. Chronic mucotaneous is a _______ usually occurring in __________
    • severe form of candidiasis
    • immunocompromised patients
  36. Oral lesions occurring in deep fungal infections are all associated with
    primary involvement of the lungs with the oral lesion caused by implantation of the organism from the lungs to the oral mucosa
  37. Deep fungal infections include
    Histoplasmosis, coccidioidomycosis, blastomycosis and cryptococcosis
  38. Oral lesions of deep fundal infections are ______ and can resemble _________
    • chronic, nonhealing ulcers
    • squamous cell carcinoma
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    Squamous Papilloma
    A benign papillary lesion that is caused by another papillomavirus that is transmitted through sexual contact and is most common in the anogenital region
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  42. Greater than 90% of all cervical cancers are related to
    (HPV 16 and 18)
  43. FOCAL EPITHELIAL HYPERPLASIA, also called _______, is characterized by ________ and primarily occur in _________
    • Heck disease
    • multiple whitish to pale pink nodules throughout the oral mucosa
    • children
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  45. What are the three phases of Human Herpes virus
    • Primary Infection
    • Latency
    • Reactivation
  46. What are the two major forms of Herpes Simplex
    • Type 1 – oral lesions
    • Type 2 – genital lesions
  47. In Primary herpetic gingivostomatitis – _________ symptoms usually occur first
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    Primary herpetic gingivostomatitis
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    Recurrent herpes simplex
  50. Intraorally Recurrent herpes occurs on __________ and usually as painful crops of vesicles or ulcers
    keratinized gingiva
  51. EPSTEIN-BARR VIRUS can cause
  52. Patients with EPSTEIN-BARR VIRUS may orally exhibit
    • palatal petechiae early in the disease
    • hairy leukoplakia
  53. Herpangina is caused by
  54. With measles you might find oral lesions which are small red macules with white necrotic centers, which are called
    Koplik’s spots.
  55. MUMPS is a viral infection of the
    salivary glands
  56. DIAGNOSING AIDS is having HIV infection with CD4 lymphocyte count of
    less than 200 per microliter of blood (normal CD4 is 550 to 1000)
  57. Presence of ________ orally may fulfill the criteria for the diagnosis of AIDS
    Kaposi Sarcoma
  58. What is Kaposi Sarcoma
    rare vascular neoplasm that appear as painless reddish-purple macules in the early stages
Card Set:
Chapter 4 Infectious disease
2018-01-24 13:42:57
Chapter Infectious disease
Oral Path
Chapter 4 Infectious disease
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