What causes blisters in the mouth?
Patient: Clinical FindingsSite and nature of specimen: recurrent ulceration over tongue biopsy for H P EGross appearance: tinny soft tissue bit 0.5cmMicro. Appearance: Revealed hyperplastic and dysplastic stratified .......................... squamous epithelium underlying it there are inflammatory cell collections, endarteritic micro vessels and striated muscle fibers.No evidence of malignancyOpinion Hyperplastc and Dysplastic epithelium with non-specific inflammation Throat swab for culture and sensitivity and Sensitivity Report: SW175/10Microscope Findings:Organism Isolated: Coagulase positive staphylococci Staphylococci grown in culture,ANTIBIOGRAMAntibiotic                         Sensitivity/resistant1.  Peniciline                         R2. Streptomycin                         ++++3. Tretracyclin                         +++norf4. Erythromucin                         R5.Chloromycetin                    ++++6. furadantin                         -7. septran                         ++8. wintomylon                         -9. ampicillin                         R10. furoxone                         -11. gentamycin                         ++++12. kanamycin                         -13. phexin(cephalexin)                    R14. norbactin(norfloxacin)               R15.ceporan                         -16. ciprofloxacin                    ++++                    17.pefloxacin                         ++18. amikacin                         ++++19.cefotaxime                         ++++20.cefatriaxone                         ++++21.netilmicin sulphate usp               -     (netromycin inj :im/iv)(R)resistant               (+)sensitive          (-)drug not used                   MEDICINE BEING USED1.TELMA-40mg-01 DAILY2.AZTOR EZ-01 DAILY3.PREGAMET 75mg 02 (mor-eve)4. LEAZI-GPS – 1.5 DAILY5.GLYCOMET GP – I.5 DAILY (MOR-1 EVE-HALF)6. TRYPEAN 10mg – 02 (MOR-1 EVE-1) 7.ECOSPIRIN 75mg – 01 daily8.ALPAZ 1mg – 01(NIGHT)9.ORSPASTE10. CIPSLEX – 10mg used for 10 years and discontinued for the past 2 months 11. Using the medicine for Diabetes and High BP form last 4 years                              complaints1.blusters in mouth recurring2.burning of tongue and roughen of tongue Doctor: Hello,The microorganisms found under microscopic study, Staphylococci, are treated best with Cefadroxyl 500 mg (Drxoxyl) twice a day for 5 days. It is safe to be taken with all the medicines you are taking regularly and it will not interact with any of them.You can apply Triamcinolone Acetonide 0.1% (Kenacort) gel topically on the blisters and ulcers 3-5 times a day. Avoid spicy food for some days. Drink lots of fluids. I hope this information is useful to you. Thank you for choosing HealthcareMagic. Best,Dr. Viraj Shah