Ulcerative stomatitis

Introduction to ulcerative stomatitis Acute ulcerative stomatitis, also known as bacterial stomatitis, can be seen in babies of any age, with more and more severe illnesses in infants and young children. Generally caused by bacterial infection, oral cavity, dry mucous membranes, etc. can cause bacterial proliferation and reproduction. Mainly manifested as oral mucosal congestion, edema, increased saliva. There are ulcers of varying sizes and scattered in the gums, tongue, cheeks, inner lip and upper jaw, and sometimes they can be connected into large pieces. The periphery of the ulcer is relatively regular, with a thick fibrous exudate, forming a grayish white or yellow pseudomembrane covering the wound. After the pseudomembrane is peeled off, it is hemorrhagic erosion surface, and the pseudomembrane is used for smear or culture to find pathogenic bacteria. basic knowledge The proportion of illness: 0.001% Susceptible people: children Mode of infection: non-infectious Complications: Oral leukoplakia Oral mucosal disease

Causes of ulcerative stomatitis

Bacterial infections

Bacterial infectious stomatitis is often caused by streptococci and staphylococci. These bacteria in the case of acute infection, long-term diarrhea and other low body resistance, if the mouth is not clean, the bacteria will multiply, resulting in acute oral mucosal damage. At the beginning, the oral mucosa is congested and edematous, followed by erosions or ulcers of varying sizes, with a grayish white pseudomembrane formed by thicker fibrous inflammatory exudates. The causative agent of herpetic stomatitis is herpes simplex virus. A local rash appears in the skin and rapidly oozes out to form blisters.

Ulcerative stomatitis prevention

1. Introduce the patient's common sense about oral hygiene and nursing, and observe whether the patient's mouth feels and taste changes.

2. Maintain oral hygiene, brush your teeth with a soft toothbrush, and use a non-irritating dentifrice.

3. Containing compound boric acid solution, 3% sodium hydrogencarbonate or 3% hydrogen peroxide for 30 minutes after eating.

4, avoid alcohol and tobacco, avoid eating overheated, too cold, spicy, rough and irritating food.

Ulcerative stomatitis complications Complications, oral leukoplakia, oral mucosal disease

May be complicated by recurrent thrush.

Ulcerative oral inflammation symptoms Common symptoms Oral pain, upper mouth pain, oral mucosal ulcer, oral Candida infection

Symptom performance

The pain in the ulcer is obvious. There is a slight bad breath and the local lymph nodes are often swollen. Systemic symptoms vary in severity, fever, irritability, loss of appetite or local pain can not eat oral mucosa congestion, edema, increased saliva. There are ulcers of varying sizes and scattered in the gums, tongue, cheeks, inner lip and upper jaw, and sometimes they can be connected into large pieces. The periphery of the ulcer is relatively regular, with a thick fibrous exudate, forming a grayish white or yellow pseudomembrane covering the wound. After the pseudomembrane is peeled off, it is hemorrhagic erosion surface, and the pseudomembrane is used for smear or culture to find pathogenic bacteria.

Examination of ulcerative stomatitis

Blood routine examination and oral endoscopy were performed according to clinical symptoms.

Diagnosis and diagnosis of ulcerative stomatitis

First, the diagnosis of stomatitis

1. History: Bacterial stomatitis often has a history of acute infection before onset; herpetic stomatitis may have a history of exposure to this disease.

2, clinical manifestations: see the above clinical manifestations.

3, blood routine examination: bacterial spondylitis increased the total number of white blood cells; herpes simplex white blood cell counts are normal.

4, histopathological examination: the bottom of the vesicle tissue staining, visible multinucleated giant cells, eosinophil particles in the nucleus, observed under electron microscope, can see the herpes simplex virus is second only to the center of the nucleus.

Second, the differential diagnosis of stomatitis

The disease should be differentiated from herpes angina caused by Coxsackie virus.

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