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INFECTIOUS DISEASES OF
       THE EARS



           MAJID MOHIUDDIN
INFECTIOUS DISEASES OF THE
            EARS
    1. Eustachian (auditory) tube, from the
       throat and nasopharynx.
    2. From external ear.
    3. Through the blood or lymph.
• OTITIS MEDIA
• OTITIS EXTERNA
OTITIS EXTERNA, EXTERNAL OTITIS, EAR
    CANAL INFECTION, SWIMMER’S EAR


• Infection with itching, pain, malodorous
  discharge, tenderness, redness, swelling and
  impaired hearing.
• Escherichia coli, Pseudomonas aeruginosa,
  Proteus vulgaris, Staphylococcus aureus;
  rarely by fungus –e.g., Aspergillus.
OTITIS MEDIA, MIDDLE EAR
                 INFECTION:
• Develop as Complication of the
  common cold.                            • Bacteria: Streptococcus
• Persistent and severe earache.            pneumonia (G+ve
• Temporary hearing loss.                   diplococcus), Haemophillus
• Pressure in middle ear.                   influenzae (G-ve bacillus)
• Bulging of the eardrum (Tympanic          and Moraxella catarrhalis
  membrane),                                (G-ve diplococcus) also
• Nausea, vomiting, diarrhea and fever      Streptococcus pyogenes and
  in young children.                        Staphylococcus aureus.
• May lead to rupture of the eardrum,     • Virus: Measles virus,
  bloody discharge and then pus.            parainfluenza virus and
• Severe complications: bone infection,     respiratory syncytial virus
  permanent hearing loss, and               (RSV)
  meningitis.
                                          • Not Communicable
INFECTIOUS DISEASES OF
       THE EYES
Viral infections:
• Conjunctivitis, keratitis keratoconjuctivitis:
  Adenoviruses, enteroviruses and herpes
  simplex viruses.
• Treatment:
  – Care during viral infections (cold sores).
  – Antiviral agents for herpes simplex infections.
    (Ointment or eye drops).
BACTERIAL CONJUCTIVITIS
         (Pinkeye)
• Irritation
                      • Haemophilus
• Reddening of          influenzae biogroup
  conjunctiva,          aegyptius and
                        Streptococcus
• Edema of eyelids,     pneumoniae. And
                        others.
• Mucopurulent
  discharge,
• Sensitivity to      • Human to human
                        via, eye and
    BACTERIAL
  light,                respiratory
                        discharge, contaminate
• Highly
   INFECTIONS           d fingers, facial
                        tissues, clothing, eye
CHLAMYDIAL CONJUNCTIVITIS, INCLUSION
    CONJUCTIVITIS, PARATRACHOMA
• Mucopurulent          ETIOLOGIC AGENT:
  discharge in          • Serotypes (serovars)
  neonates, result in     of Chlamydia
  mild scarring of       trachomatis.
  conjunctivae and
  cornea.
                        • Contact with genital
• May concurrent          discharges of
  with chlamydial         infected people.
  nasopharyngitis or
  pneumonia.            • Contaminated fingers
                          to eye.
• In adults, may be
  BACTERIAL
  concurrent with       • Infection in newborns
                          via infected birth
  nongonococcal
 INFECTIONS               canal.
TRACHOMA, CHLAMYDIA KERATOCONJUNCTIVITS

• Highly contagious   ETIOLOGIC
• Acute or chronic      AGENT:
  conjunctival        • Serotypes
  inflammation          (serovars) of
                        Chlamydia
• Scarring of           trachomatis
  cornea and
  conjunctiva
• Deformation of      • Direct contact with
   BACTERIAL
  eyelids and           infectious ocular or
  INFECTIONS
  blindness.            nasal secretions
GONOCOCCAL CONJUNCTIVITIS,
GONORRHEAL OPHTHALMIA NEONATORUM
• Acute redness
                   • Neisseria
• Swelling of        gonorrhoeae (G-ve,
  conjunctiva        kidney-bean shaped
                     diplococci)
• Purulent
  discharge        • Contact with the
• Corneal ulcers     infected birth canal
                     during delivery.
• Perforation      • Adult infection from
• Blindness          finger to eye contact
  BACTERIAL          with infected genital
 INFECTIONS          secretions.
AMEBIC CONJUCTIVITIS AND
     KERATOCONJUCTIVITIS
• Inflammation of
  the conjunctiva   • Several species of
• Corneal ulcers      amebae – genus
• Pus formation      Acanthamoeba.
• Severe pain
• Loss of vision    • Ameba contaminated
                      water.
  PROTOZOAL         • Unsterile contact
                      lens
  INFECTIONS
                    • Cleaning and wetting
TOXOPLASMOSIS
• Systemic sporozoal
  infection            • Toxoplasma gondii;
• Immunocompetent        an intracelluar
  persons                sporozoan.
• Serious disease,
  even death, may      • Cats and other
  occur in               felines
  immunodeficient      • Intermediate hosts
  persons                include rodents,
• Infection during       birds, sheep, goats,
   PROTOZOAL
  early pregnancy        swine and cattle.
  may lead to fetal    • Humans usually
   INFECTIONS
  infection, causing     become infected by
INFECTIOUS DISEASES OF THE
       ORAL CAVITY
VIRAL AND BACTERIAL
          INFECTIONS
COLD SORES, HERPES LABIALIS:
• Herpes simplex virus type 1 and type 2
DENTAL CARIES, GINGIVITIS & PERIODONTITIS:
• Bacteriodes, Porphyromonas, Fusobacterium,
  Prevotella, Actinomyces, Treponema spp. etc.
• Streptococcus mutans, Lactobacilli,
  Actinomyces spp.
The End

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Infectious diseases of the ears,eyes,mouth

  • 1. INFECTIOUS DISEASES OF THE EARS MAJID MOHIUDDIN
  • 2. INFECTIOUS DISEASES OF THE EARS 1. Eustachian (auditory) tube, from the throat and nasopharynx. 2. From external ear. 3. Through the blood or lymph. • OTITIS MEDIA • OTITIS EXTERNA
  • 3. OTITIS EXTERNA, EXTERNAL OTITIS, EAR CANAL INFECTION, SWIMMER’S EAR • Infection with itching, pain, malodorous discharge, tenderness, redness, swelling and impaired hearing. • Escherichia coli, Pseudomonas aeruginosa, Proteus vulgaris, Staphylococcus aureus; rarely by fungus –e.g., Aspergillus.
  • 4. OTITIS MEDIA, MIDDLE EAR INFECTION: • Develop as Complication of the common cold. • Bacteria: Streptococcus • Persistent and severe earache. pneumonia (G+ve • Temporary hearing loss. diplococcus), Haemophillus • Pressure in middle ear. influenzae (G-ve bacillus) • Bulging of the eardrum (Tympanic and Moraxella catarrhalis membrane), (G-ve diplococcus) also • Nausea, vomiting, diarrhea and fever Streptococcus pyogenes and in young children. Staphylococcus aureus. • May lead to rupture of the eardrum, • Virus: Measles virus, bloody discharge and then pus. parainfluenza virus and • Severe complications: bone infection, respiratory syncytial virus permanent hearing loss, and (RSV) meningitis. • Not Communicable
  • 6. Viral infections: • Conjunctivitis, keratitis keratoconjuctivitis: Adenoviruses, enteroviruses and herpes simplex viruses. • Treatment: – Care during viral infections (cold sores). – Antiviral agents for herpes simplex infections. (Ointment or eye drops).
  • 7. BACTERIAL CONJUCTIVITIS (Pinkeye) • Irritation • Haemophilus • Reddening of influenzae biogroup conjunctiva, aegyptius and Streptococcus • Edema of eyelids, pneumoniae. And others. • Mucopurulent discharge, • Sensitivity to • Human to human via, eye and BACTERIAL light, respiratory discharge, contaminate • Highly INFECTIONS d fingers, facial tissues, clothing, eye
  • 8. CHLAMYDIAL CONJUNCTIVITIS, INCLUSION CONJUCTIVITIS, PARATRACHOMA • Mucopurulent ETIOLOGIC AGENT: discharge in • Serotypes (serovars) neonates, result in of Chlamydia mild scarring of trachomatis. conjunctivae and cornea. • Contact with genital • May concurrent discharges of with chlamydial infected people. nasopharyngitis or pneumonia. • Contaminated fingers to eye. • In adults, may be BACTERIAL concurrent with • Infection in newborns via infected birth nongonococcal INFECTIONS canal.
  • 9. TRACHOMA, CHLAMYDIA KERATOCONJUNCTIVITS • Highly contagious ETIOLOGIC • Acute or chronic AGENT: conjunctival • Serotypes inflammation (serovars) of Chlamydia • Scarring of trachomatis cornea and conjunctiva • Deformation of • Direct contact with BACTERIAL eyelids and infectious ocular or INFECTIONS blindness. nasal secretions
  • 10. GONOCOCCAL CONJUNCTIVITIS, GONORRHEAL OPHTHALMIA NEONATORUM • Acute redness • Neisseria • Swelling of gonorrhoeae (G-ve, conjunctiva kidney-bean shaped diplococci) • Purulent discharge • Contact with the • Corneal ulcers infected birth canal during delivery. • Perforation • Adult infection from • Blindness finger to eye contact BACTERIAL with infected genital INFECTIONS secretions.
  • 11. AMEBIC CONJUCTIVITIS AND KERATOCONJUCTIVITIS • Inflammation of the conjunctiva • Several species of • Corneal ulcers amebae – genus • Pus formation Acanthamoeba. • Severe pain • Loss of vision • Ameba contaminated water. PROTOZOAL • Unsterile contact lens INFECTIONS • Cleaning and wetting
  • 12. TOXOPLASMOSIS • Systemic sporozoal infection • Toxoplasma gondii; • Immunocompetent an intracelluar persons sporozoan. • Serious disease, even death, may • Cats and other occur in felines immunodeficient • Intermediate hosts persons include rodents, • Infection during birds, sheep, goats, PROTOZOAL early pregnancy swine and cattle. may lead to fetal • Humans usually INFECTIONS infection, causing become infected by
  • 13. INFECTIOUS DISEASES OF THE ORAL CAVITY
  • 14. VIRAL AND BACTERIAL INFECTIONS COLD SORES, HERPES LABIALIS: • Herpes simplex virus type 1 and type 2 DENTAL CARIES, GINGIVITIS & PERIODONTITIS: • Bacteriodes, Porphyromonas, Fusobacterium, Prevotella, Actinomyces, Treponema spp. etc. • Streptococcus mutans, Lactobacilli, Actinomyces spp.