Ulcerative stomatitis in children
Introduction
Introduction to pediatric ulcerative stomatitis Ulcerative stomatitis is an oral inflammation caused by infections such as Streptococcus, Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa or Escherichia coli. More common in infants and young children, often occurs in acute and chronic infections, long-term diarrhea and other body resistance is reduced, the oral cavity is more conducive to bacterial reproduction. Do oral care, clean the mouth, use 01%~03% rivanol solution 1~2 times a day to dilute 1%~3% hydrogen peroxide or 1:2000 potassium permanganate to clean the ulcer surface and then apply 5% gold Cod liver oil. Add enough nutrients and liquids to supply multivitamins, prevent and correct water, acid-base imbalance, timely infection, and use antibiotics. basic knowledge The proportion of sickness: 0.2% Susceptible people: more common in infants and young children Mode of infection: non-infectious Complications: dehydration
Cause
Causes of ulcerative stomatitis in children
Cause:
Ulcerative stomatitis is an oral inflammation caused by infections such as Streptococcus, Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa or Escherichia coli. More common in infants and young children, all parts of the mouth can occur, common in the lips, tongue and buccal mucosa, can spread to the lips and throat. It often occurs in acute and chronic infections. When the body's resistance such as long-term diarrhea is reduced, the oral cavity is more conducive to bacterial growth and disease.
Prevention
Pediatric ulcerative stomatitis prevention
Prevention point one
To ensure adequate sleep, avoid fatigue, nervousness, excessive use of the brain; keep the mouth clean, clean the mouth 2 to 3 times a day, the comb of the toothbrush should not be too hard, so as not to hurt the oral mucosa. Persevere with green tea to gargle, can promote the healing of oral ulcers.
Prevention point two
Prevention of traumatic stomatitis should correct bad habits. Avoid eating overheated and hot sticky foods to prevent infection after mucosal burns.
Complication
Pediatric ulcerative stomatitis complications Complications dehydration
Inflammation of pediatric ulcerative stomatitis spreads to the back of the mouth and may "snap" the esophagus. Once it is implicated, the baby will feel uncomfortable when swallowing, and may even refuse to drink water because of fear of pain. Dehydration may occur. . Examination of peripheral blood in the white blood cells often increased; wound surface smear staining showed a large number of bacteria. The body temperature is light for about a week, the body temperature returns to normal, and the ulcer gradually heals; in severe cases, dehydration and acidosis may occur.
Symptom
Ulcerative symptoms of ulcerative symptoms in children Common symptoms Herpes labialis Oral mucosal ulcer Leukocytosis Irritability Muscle congestion Congestive Oral ulcers Lymph node enlargement
It can occur in all parts of the mouth, usually in the lips, tongue and buccal mucosa, and can spread to the lips and throat. Initial mucosal congestion, edema, may have herpes, after the occurrence of erosion and ulcer of varying sizes, the wound covered with thicker fibrous exudate formed grayish or yellow pseudomembrane, borders, easy to wipe away, after the rubbing left the bleeding The smashed noodles, and soon there was a fake film. Local pain, swollen lymph nodes. Antifeeding, irritability, fever, body temperature 39 ~ 40 ° C. The white blood cells in the peripheral blood are increased, and the effusion of the wound exudate is stained with bacteria. The body temperature is one week's body temperature, the ulcer gradually heals, and severe dehydration and acidosis may occur.
Examine
Examination of ulcerative stomatitis in children
White blood cells in the peripheral blood are often increased; the effusion of the wound exudate is stained with bacteria. The whole body is light for about one week, and the ulcer gradually heals; in severe cases, dehydration and acidosis can occur.
Diagnosis
Diagnosis and diagnosis of ulcerative stomatitis in children
diagnosis
Diagnosis can be based on the cause, symptoms and related tests.
Differential diagnosis
Identification of some diseases such as measles, hand, foot and mouth, thrush:
1. Measles Measles is an acute respiratory infection caused by measles virus. The clinical symptoms include fever, cough, runny nose, conjunctival hyperemia, and Koplik's spots on the oral mucosa. Simple measles has a good prognosis, and the mortality rate of critically ill patients is high.
Second, Hand, Foot and Mouth Disease (HFMD) is a childhood infectious disease, also known as rash vesicular stomatitis. Most occur in children under 5 years of age, can cause herpes in the hands, feet, mouth and other parts, a small number of children can cause complications such as myocarditis, pulmonary edema, aseptic meningoencephalitis. Individual critically ill children die if their condition develops rapidly. The disease is mainly caused by hand, foot and oral mucosal herpes or ulceration after ulceration. Hand, foot and mouth disease is an infectious disease caused by enterovirus, and there are more than 20 types of enteroviruses that cause hand, foot and mouth disease.
Third, thrush thrush is caused by Candida albicans infection. Candida albicans is one of many microorganisms, usually occurs in infants with unclean mouth and malnutrition, and can occur in frail adults. .
