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Herpetic stomatitis

kiss disease

Definition of Herpetic stomatitis


Herpetic stomatitis is a viral infection of the mouth that causes ulcers and inflammation.  These mouth ulcers are not the same as canker sores, which are caused by a different virus.


Causes, incidence, and risk factors

Herpetic stomatitis is a contagious viral illness caused by Herpes virus hominis (also herpes simplex virus, HSV). It is seen mainly in young children. This condition is probably a child's first exposure to the herpes virus.

Symptoms

       

Blisters in the mouth, often on the tongue or cheeks Decrease in food intake, even if the patient is hungry Difficulty swallowing (Dysphagia) Drooling Fever (often as high as 40 c) may occur 1 -2 days before blisters and ulcers appear Irritability Pain in mouth Swollen gums

Signs and tests:

Herpetic stomatitis is normally diagnosed based on its very typical appearance.  Laboratory studies are seldom done. Sometimes viral culture and special stains can help with the diagnosis.


Treatment:

Herpetic stomatitis can be treated with the acyclovir family of antiviral medications.  An oral topical anesthetic (viscous lidocaine) is available for severe pain, but it must be used with care because the anesthetic deadens all feeling.


Expectations (prognosis):

The child should recover completely within 10 days without medical treatment.  Oral acyclovir may speed up recovery.


Complications:
Herpetic keratoconjunctivitis, a secondary herpes infection in the eye, may develop.  This is an emergency and can lead to blindness.  Dehydration may develop if the child refuses to eat and drink enough because of a sore mouth.


Hepatic Cirrhosis
Definition  The hepatic cirrhosis is a condition caused by certain chronic diseases of the liver that provoke the formation of fabric cicatrize and permanent hurt to the liver.

Principal Reasons of the cirrhosis


Chronic Alcoholism  Viral Hepatitis (type B, C and D)  Hereditary Disosrders  Deficiency of alfa-1 Antritripsina  Cystic Fibrosis  Galactosemia


Symptoms
Fatigues Weakness and depletion Lack of appetite Loss of weight Advanced Symptons Edema and ascites Bled and or formation of bruises Jaundice Intense irritation Stones in the bladder Encephalopathy.
   

Diagnose
Physical Examination  You try images  Biopsy of the liver  Surgery


Treatment
The diuretics are medicines that help to eliminate the excess of liquid and to prepare the edema.  Across the supply and therapy with medicine/ medicament it is posible to improve the mental function that is altered because of the cirrhosis


Cystitis - acute


Acute cystitis is a bacterial infection of the bladder or lower urinary tract. Acute means sudden or severe. Most of the time, your body can get rid of these bacteria when you urinate. However, sometimes the bacteria can stick to the wall of the urethra or bladder, or grow so fast that some bacteria stay in the bladder.

The following also increase your chances of developing cystitis


        

A tube called a urinary catheter inserted in your bladder Blockage of the bladder or urethra Diabetes Enlarged prostate, narrowed urethra, or anything that blocks the flow of urine Loss of bowel control (bowel incontinence) Older age (especially in people who live in nursing homes) Pregnancy Problems fully emptying your bladder (urinary retention) Procedures that involve the urinary tract

Symptoms
The symptoms of a bladder infection include:  Cloudy or bloody urine, which may have a foul or strong odor  Low fever (not everyone will have a fever)  Pain or burning with urination  Pressure or cramping in the lower abdomen (usually middle) or back  Strong need to urinate often, even right after the bladder has been emptied

Exams and Tests




A urine sample is usually collected to perform the following tests: Urinalysis is done to look for white blood cells, red blood cells, bacteria, and to test for certain chemicals, such as nitrites in the urine. Most of the time, your doctor or nurse can diagnose an infection using a urinalysis. Urine culture - clean catch may be done to identify the bacteria in the urine to make sure the correct antibiotic is being used for treatment.

Treatment


Antibiotics taken by mouth are usually recommended because there is a risk that the infection can spread to the kidneys. For a simple bladder infection, you will take antibiotics for 3 days (women) or 7 - 14 days (men). For a bladder infection with complications such as pregnancy or diabetes, OR a mild kidney infection, you will usually take antibiotics for 7 - 14 days.

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