Leprosy and Tuberculosis Overview

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Questions and Answers

What is leprosy also known as?

  • Hansen’s Disease (correct)
  • Gangrenous Stomatitis
  • Kissing Disease
  • Tuberculosis

What is the causative agent of leprosy?

Mycobacterium Leprae

Tuberculosis primarily affects the skin, nerves, and mucous membranes.

False (B)

Which of the following is a clinical feature of oral leprosy?

<p>Well defined red macule (C)</p> Signup and view all the answers

The main bacteria responsible for tuberculosis is called ______.

<p>Mycobacterium Tuberculosis</p> Signup and view all the answers

What are the two types of leprosy?

<p>Pauci-Bacillary (PB) and Multi-Bacillary (MB)</p> Signup and view all the answers

What is the standard treatment duration for Pauci-Bacillary leprosy?

<p>6 months (C)</p> Signup and view all the answers

Which bacteria is responsible for Actinomycosis?

<p>Actinomyces Israelii (C)</p> Signup and view all the answers

What is the common name for Cancrum Oris?

<p>NOMA</p> Signup and view all the answers

Gonorrhea can be spread by sharing toilets and bathrooms.

<p>False (B)</p> Signup and view all the answers

What virus causes Infectious Mononucleosis?

<p>Epstein-Barr Virus</p> Signup and view all the answers

What are common initial symptoms of Infectious Mononucleosis?

<p>All of the above (D)</p> Signup and view all the answers

What is the main treatment approach for Cytomegalic Inclusion Disease?

<p>Antiviral drug for life-threatening cases</p> Signup and view all the answers

Gonorrhea can spread from the mother to the baby during ______.

<p>delivery</p> Signup and view all the answers

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Study Notes

Leprosy (Hansen's Disease)

  • Caused by Mycobacterium Leprae, primarily affecting skin, nerves, and mucous membranes.
  • Clinical features include well-defined red macules, purple papules on the hard palate, and ulcers on the tongue and palate.
  • Oral manifestations may lead to skin problems, loss of sensation, and paralysis of extremities.
  • Differentiating from other conditions is crucial (cancer, ulcers, etc.).
  • Multi-Drug Therapy (MDT) is essential for treatment, categorized into Pauci-Bacillary (6 months) and Multi-Bacillary (12 months) regimens.

Tuberculosis (TB)

  • Caused by Mycobacterium Tuberculosis, highly infectious via airborne droplets.
  • Clinical signs include low-grade fever, night sweats, cough with blood, and weight loss.
  • Oral manifestations may present as painless ulcers with associated lymph nodes swelling.
  • Types include Pulmonary TB (lungs) and Scrofula (cervical lymph nodes).
  • Treatment involves a strict regimen of antibiotics over 6-12 months.

Actinomycosis (Lumpy Jaw)

  • Caused by Actinomyces Israelii, an anaerobic bacterium.
  • Types include cervicofacial, abdominal, thoracic, and pelvic infections.
  • Symptoms in men include burning urination, testicular pain, and possible asymptomatic cases.
  • Women may experience painful urination and increased vaginal discharge.
  • Treatment includes long-term antibiotics and possible surgical drainage.

Cancrum Oris (Noma)

  • A rare condition characterized by rapid gangrenous sores, primarily affecting undernourished children.
  • Caused by fusospirochetal organisms, leading to severe tissue destruction.
  • Symptoms include foul-smelling discharge, tissue necrosis, and significant inflammation.
  • Treatment involves antibiotics, improved nutrition, and potentially reconstructive surgery.

Gonorrhea

  • A sexually transmitted disease caused by Neisseria Gonorrhoeae.
  • Symptoms include joint pain, potential heart valve infection, and can be transmitted from mother to child during delivery.
  • Treatment typically involves antibiotics such as cephalosporins.

Mumps

  • Highly infectious viral disease predominantly affecting children aged 5-15.
  • Caused by the Paramyxovirus, leading to swollen parotid glands, fever, and malaise.
  • Prevention includes vaccination and good hygiene practices.
  • Oral lesions may include gingivostomatitis and petechiae in the mouth.

Herpangina

  • A viral infection caused by Coxsackie virus, common in children during summer.
  • Symptoms include fever, pain, and ulcers in the throat, which heal without complications.
  • Treatment is supportive, focusing on hydration and comfort.

Cytomegalic Inclusion Disease (CID)

  • Caused by the Cytomegalovirus, affecting salivary glands.
  • Symptoms include fatigue, fever, chills, and sore throat.
  • Transmission occurs through bodily fluids or contact with infected surfaces.
  • Treatment varies from supportive care to antiviral therapy for severe cases.

Oral Complications of COVID-19

  • Taste disorders such as hypogeusia, dysgeusia, and ageusia may occur, with treatment including zinc.
  • Oral mucosal lesions may develop, requiring local treatment and good oral hygiene.
  • Macroglossia can be managed with hydration techniques and moisturizing agents.
  • Loose teeth may also be a concern and should be addressed with a dental professional.

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