BACTERIAL INFECTIONS

SYPHILIS
- Treponema palladium** (spirochetes),
- Sexually transmitted disease (STD)
- Primary 🡪secondary 🡪 tertiary 🡪 death
- WASSERMANS TEST

PRIMARY SYPHILIS
- Chancre – infectious ulcer – painless and indurated(not cancerous)
- Remember syphilis first appers as ulcer***
- Non contagious
- Site – dorsal surface of tongue

SECONDARY SYPHILIS
- Highly contagious
- Mucocutaneous lesion 🡪 split ulcer
- Eg: condyloma lacta 🡪 snail track ulcer

TERTIARY SYPHILIS
- Oral manifestation – gummatous ulcer in palate
- CNS involved, CVS also involed 🡪 becomes a systemic problem

CONGENITAL SYPHILIS
- In the baby who is born to a mother with syphilis
- Hutchinsons triad ∆ -- hearing loss, mulberry molars— screwdriver inciors, notched incisors . bulbous molar, ocular keratitis ( CORNEAL SCARRING), copper stained lesions.

- Egaw menosky ***
(thickening of clavicle) — facial VII nerve palsy + deafness
(not a feature of triad) — interstitial hyperkeratosis
- Rx – penicillin for 10 days
- Qn. 8years Patient came to your clinic has impaired hearing, upon examination his mouth you found copper color lesion, notched incisor and mass on the occlusal surface of the molars.

TUBERCULOSIS
- Caused by inhaling mycobacterium Tuberculosis
- Oral non-healing chronic ulcers, after lung infections
- PRIMARY 🡪 Ghon’s complex

SCARLET FEVER
- Caused by streptococcus pyogenes
- Candisiasis may be Seen on scarlet fever patients who are on continuos antibiotics****
- Strawberry appearance of tongue (white coated tongue with red inflamed fungiform papilla)– scarlet fever (bacterial infection)
- Treatment - pencillin

FUNGAL INFECTIONS

Candidiasis - ORAL THRUSH
- Fungal / poor oral hygiene
- Seen on scarlet fever patients who are on continuous antibiotics****
- Pseudomembraneous 🡪 white plaque that rubs off
- Ie. Scrapable , leaving erythmatic area. Basically looks like fungal dirt that you can remove by cleaning your tongue!!!
- Median rhomboid glossitis – seen in patients wearing denture –or renal pts **
- Nystatin topical or go for systemic nystatin
- But if pt has been on long term antibiotics – go for fluconazole. ****
- Child 3 yrs old with oral candidiasis ? Nystatin oral suspension************