Oral tuberculosis ulcer
Introduction
Introduction to oral tuberculosis Ulcers occur in the parapharyngeal, posterior molars and cheeks. The shape of the ulcer has a concave and concave edge, and the boundary is clear but not neat, like a rat bite, the bottom is soft and granulated, dark red, and may have pain. The course of the disease is slow. basic knowledge Sickness ratio: 0.0001% Susceptible population: people with tuberculosis Mode of infection: respiratory transmission Complications: bad breath constipation pharyngitis headache insomnia
Cause
Causes of oral tuberculosis
The pathogen of this disease is Mycobecterium Tuberculosis, human-type tuberculosis and tuberculosis bacillus. The pathogenic effect of Mycobacterium tuberculosis may be related to the inflammatory reaction caused by the proliferation of bacteria in the tissue cells and the induction of delayed type allergic damage in the body. Mycobacterium tuberculosis can enter the body through the respiratory tract, digestive tract and damaged skin and mucous membranes, invading various tissues and organs, causing the corresponding organs, causing tuberculosis of the corresponding organs, among which tuberculosis is the most common. The vast majority of the disease is secondary to open tuberculosis.
Prevention
Oral tuberculosis ulcer prevention
The key to preventing this disease is to effectively treat the source of primary tuberculosis early and avoid trauma to the oral mucosa. The patient's utensils, utensils, etc. should be isolated before the cure to avoid infecting others.
Complication
Oral tuberculous ulcer complications Complications bad breath constipation pharyngitis headache insomnia
Common complications include bad breath, pharyngitis, constipation, headache, dizziness, nausea, lack of energy, insomnia, irritability, fever, swollen lymph nodes, etc., and can also cause tuberculosis in other areas.
Symptom
Oral tuberculosis ulcer symptoms common symptoms oral ulcer ulcer pain granuloma
1, ulcers occur in the parapharyngeal, molar area and cheeks.
2, the shape of the ulcer, its edge is submerged 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
Oral 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 oral tuberculosis
diagnosis
1. History of extra-oral tuberculosis or exposure to tuberculosis patients.
2, the edge of the ulcer is submerged, such as 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, histopathological findings of tuberculous granuloma.
5, chest X-ray examination may have a source of tuberculosis.
Differential diagnosis
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.
