membranous stomatitis
Introduction
Introduction to membranous stomatitis Cochlear stomatitis is an acute bacterial inflammation of the oral mucosa. The pathogen is mainly composed of various cocci, and is named as coccidative stomatitis. The clinical feature of this disease is pseudomembrane, so it is also called membranous stomatitis. The main symptoms of the disease are pseudomembranous features, obvious mucosal inflammatory response, severe pain, mucosal epithelial surface necrosis, erosion, overlying fibrinous exudate and necrotic cells, cocci, pus balls, etc., formed by edema, tissue edema, The lamina propria has a large amount of acute inflammatory cell infiltration. Staphylococcus aureus infection is more common in the gums. Pneumococcal bacteria occur in hard palate, mouth, tongue and buccal mucosa, while streptococcal infections are more common in the lips, cheeks, soft palate, mouth and alveolar mucosa. basic knowledge The proportion of illness: 10% Susceptible people: no special people Mode of infection: non-infectious Complications: herpes simplex
Cause
Cause of membranous stomatitis
Staphylococcus aureus, Streptococcus mutans, hemolytic streptococcus and pneumococci, etc. When the body is exposed to certain stimuli, such as cold fever, acute infectious diseases, malignant tumors, long-term radiotherapy, chemotherapy or long-term use of immunosuppressants, etc. When the immune function of the body is lowered, these bacteria abnormally proliferate and the virulence is enhanced to cause the disease.
Primary cochlear stomatitis is uncommon. Clinically, it is secondary to secondary bacterial infections such as herpes simplex and drug allergic stomatitis. This secondary infection can be called For secondary coccidiosis stomatitis, the diagnosis of the primary disease is usually still used, and the anti-cocci infection should be noted at the same time as the treatment of the primary disease.
Prevention
Membranous stomatitis prevention
To brush your teeth properly, you should take the upper and lower vertical brushing method, brush your teeth properly, brush your teeth in the morning and evening, brush 8-10 times on each tooth surface; rinse your mouth after meals; pay attention to the amount of fluoride toothpaste (especially children), generally pea size Use floss to clean adjacent tooth gaps and replace the toothbrush every month. Look at the dentist every 3 months, cure the disease, prevent disease; if there is no periodontal disease, you can go to the dentist every year to wash your teeth. You should go to the dental chair with good disinfection facilities to avoid hepatitis B and AIDS.
Complication
Membranous stomatitis complications Complications herpes simplex bad breath
Secondary infections are prone to occur.
Symptom
Membranous stomatitis symptoms Common symptoms Stomatitis, pain, sore throat, sore throat, oral mucosa, diffuse congestion, oral mucosal ulcer, antifeeding
Pseudomembrane characteristics, mucosal inflammatory response, severe pain, mucosal epithelial surface necrosis, erosion, overlying fibrinous exudate and necrotic cells, cocci, pus balls and other pseudomembranes, tissue edema, a large number of acute inflammation in the lamina propria Cell infiltration.
Primary cochlear stomatitis is more common in infants and young children, occasionally adults, patients with acute onset, fever, mouth pain, sore throat, runny nose, crying because of pain, refusal to eat, accompanied by general malaise and discomfort, oral mucosal congestion Significant, edema, followed by erosion or ulceration, severe pain, bad breath, local lymph nodes and swelling.
Staphylococcus aureus infection is more common in the gums. Pneumococcal bacteria occur in hard palate, mouth, tongue and buccal mucosa, while streptococcal infections are more common in the lips, cheeks, soft palate, mouth and alveolar mucosa.
Examine
Membranous stomatitis
Blood routine examination: the total number of white blood cells increased.
A large number of bacteria can be found by taking a fake film smear.
Diagnosis
Diagnosis and differentiation of membranous stomatitis
Ask about the medical history and check to exclude secondary infections of other diseases. The disease needs to be differentiated from necrotizing gingivitis and Xuekou.
Necrotic gingivitis: gingival necrosis, hemorrhoids, pain, sometimes opposite to necrotic gums, tissue necrosis of buccal mucosa, deep ulcers, taupe dull pseudomembrane, stinky bad breath, smear examination Clostridium and spirochetes.
Xuekou: systemic asymptomatic, painless white spots in the mouth, patch, mucosal congestion is not obvious, smear or culture can find mold hyphae or spores.
