tuberculous ulcer
Introduction
Introduction to tuberculous ulcer The clinical manifestations of M. tuberculosis in the oral mucosa are ulcers, which are usually more common in patients with open tuberculosis. The Mycobacterium tuberculosis in the patient's sputum often enters the tissue through mucosal wounds formed by caries, roots or other factors, and can also spread the nasopharynx tuberculosis to the lips and lips through the lymphatic vessels. This disease is more common in adults. basic knowledge Sickness ratio: 0.05% Susceptible people: no special people Mode of infection: droplet spread Complications: bad breath, pharyngitis, constipation, headache
Cause
Cause of tuberculous ulcer
The pathogen of the disease is Mycobecterium Tuberculosis, the pathogenic effect of Mycobacterium tuberculosis and Mycobacterium tuberculosis, which is pathogenic to humans. The pathogenic effect of Mycobacterium tuberculosis may be the inflammatory reaction of bacteria in tissue cells, and the induction of the body. It is related to the development of delayed type allergic injury. Tubercle bacilli can enter the body through the respiratory tract, digestive tract and damaged skin and mucous membranes, invade various tissues and organs, cause corresponding organs, cause tuberculosis of the corresponding organs, and tuberculosis is the most common. Most are secondary to open tuberculosis.
Prevention
Tuberculosis ulcer prevention
The key to prevention of this disease is to effectively treat the source of primary tuberculosis in the early stage, and to avoid trauma to the oral mucosa. The disease equipment and utensils should be isolated before the disease is cured to avoid infecting others.
Complication
Tuberculosis ulcer complications Complications, bad breath, pharyngitis, constipation, headache
Common complications include bad breath, pharyngitis, constipation, headache, dizziness, nausea, lack of energy, insomnia, irritability, fever, swollen lymph nodes, etc., can also cause tuberculosis in other areas.
Symptom
Tuberculous ulcer symptoms Common symptoms Low-heat oral mucosal ulcers Pharyngeal congestion granuloma, night sweats, molars
1. The ulcer occurs in the paraphary, the posterior region and the cheek.
2. The shape of the ulcer, the edge of which is submerged and concave, the boundary is clear but not neat, like a rat bite, the bottom is soft and granulated, dark red, may have pain.
3. The course of the disease progresses slowly.
Examine
Tuberculosis ulcer examination
Because the vast majority of this disease is secondary to patients with open tuberculosis, according to the clinical features of the disease, X-ray chest fluoroscopy should be performed first. If no tuberculosis source is found in the lung, pathological biopsy of ulcer tissue can be considered. Confirmed diagnosis. For patients with atypical lung lesions, the examination program may include a check box "C".
Diagnosis
Diagnosis and diagnosis of tuberculous ulcer
diagnosis
1. Have a history of oral tuberculosis or a history of exposure to tuberculosis patients.
2. The edge of the ulcer is submerged, such as a rat bite, the base is soft and granulated, dark red.
3. Mycobacterium tuberculosis can be seen by acid-fast staining on the surface of the lesion.
4. Histopathology can be seen in tuberculous granuloma.
5. Chest X-ray examination may have a source of tuberculosis.
Tuberculous ulcers are sometimes misdiagnosed as cancer. If the source of primary tuberculosis is not clear, a histopathological biopsy can be used to make a differential diagnosis.
