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口腔黏膜感染:标本采集与药物管理的见解

Oral Mucosal Infections: Insights into Specimen Collection and Medication Management.

作者信息

Santosh Arvind Babu Rajendra, Reddy Baddam Venkat Ramana

机构信息

Dentistry Program, The University of the West Indies, Mona Campus, Kingston 7, Jamaica, West Indies.

Department of Oral and Maxillofacial Pathology, SIBAR Institute of Dental Sciences, Takkellapadu, Guntur, Andhra Pradesh 522601, India.

出版信息

Dent Clin North Am. 2017 Apr;61(2):283-304. doi: 10.1016/j.cden.2016.12.002.

Abstract

Oral mucosal infections appear as localized or generalized lesions. Symptoms range from almost unnoticeable lesions to severe pain. Systemic disease, age, immunocompromised condition, and medication use are common causes. Local causes include dentures, poor oral hygiene, traumatized epithelium, ulcerations, dentures, implants, oral piercing, and reduced salivary secretion. Oral mucosal infections are underdiagnosed and microbiological diagnosis should be more frequently used. Candidiasis is most frequently diagnosed. Clinical appearances are not always clear and are varied, creating a diagnostic challenge. Thorough understanding of clinical appearance and updated information on diagnostic and therapeutic management are essential for successful patient outcome.

摘要

口腔黏膜感染表现为局部或全身性病变。症状从几乎难以察觉的病变到剧痛不等。全身性疾病、年龄、免疫功能低下状态和药物使用是常见病因。局部病因包括假牙、口腔卫生不良、上皮组织创伤、溃疡、假牙、植入物、口腔穿刺和唾液分泌减少。口腔黏膜感染的诊断不足,应更频繁地采用微生物学诊断。念珠菌病是最常被诊断出的。临床表现并不总是清晰明确且多种多样,这带来了诊断挑战。全面了解临床表现以及有关诊断和治疗管理的最新信息对于患者的成功治疗结果至关重要。

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