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Bacterial Infections of Lip

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Bacteria can affect the lips through invasion due to cuts or sores on the lips, causing impetigo and cold sores. Read the article for details.

Medically reviewed by

Dr. Bhadragiri Vageesh Padiyar

Published At October 6, 2023
Reviewed AtApril 13, 2024

Introduction

Bacterial lip infections occur due to the invasion of bacteria through cuts or sores on the lip and cause swelling, redness, pain, and impetigo in a few cases. Infections caused by bacteria are rare and include cheilitis, streptococcal and staphylococcal infections, and burning mouth syndrome. It can occur due to multiple factors and is diagnosed through a laboratory investigation.

What Are the Causes of Bacterial Infections of the Lips?

Bacterial lip infections are caused by:

  • Bacteria that naturally live on the skin, such as Staphylococcus aureus.

  • Poor hygiene.

  • Lip biting or licking.

  • Weakened immune system.

  • Exposure to contaminated objects or surfaces.

  • Burning mouth syndrome.

  • Dry, chapped lips.

  • Dental abscesses or infections.

  • Environmental factors such as contaminated water or unsanitary conditions.

  • Use of infected towels, utensils, or lip products.

  • Close contact with infected individuals.

What Are the Symptoms of Bacterial Infections of the Lip?

The symptoms of bacterial infections of the lip include

  • Redness.

  • Swelling.

  • Pain.

  • Drainage of pus.

  • Crusting or scabbing.

  • Difficulty speaking and eating.

  • Sores or blisters.

  • Itching or burning sensation on the lips.

  • Fissures or cracking of lips.

  • Enlargement of the lymph nodes in some cases.

What Are the Bacteria Involved in Lip Infections?

Bacterial infections of the lip can be caused by

  • Staphylococcus aureus: This is a bacteria that commonly lives on the skin and can cause infections when it overgrows.

  • Streptococcus pyogens: They are bacteria that can cause skin and soft tissue infections.

  • Haemophilus influenza: This is a bacteria that causes respiratory tract infections and skin infections.

Other bacteria include Escherichia coli, Pseudomonas aeruginosa, and Proteus species. The specific type of bacteria involved in a bacterial infection of the lip is determined through laboratory analysis of a sample taken from the infected area.

What Are the Infections Affecting Lips?

  • Impetigo: It is a skin infection caused by bacteria, usually Streptococcus or Staphylococcus. It most commonly affects children and is characterized by red sores or blisters that can break open and become crusty. The sores are typically located around the mouth, nose, or other areas where the skin is broken. Impetigo can be contagious and spread through contact with an infected person or contaminated objects. Symptoms can be treated with antibiotics, and the infection should clear up within a few days to a week. The affected area should be clean and have good hygiene to prevent the spread of the infection.

  • Bacterial Cheilitis: Bacterial cheilitis is an infection of the lips caused by bacteria. It presents as a triangular area of erythema and edema at one or both angles of the mouth, leading to redness, swelling, pain, and cracking of the lip skin. Angular cheilitis is caused by Staphylococcus aureus and results in tissue softening from excessive moisture from saliva and secondary infection to Candida. The disease is treated with antibiotics, applied topically, or taken orally. Keeping the lips moisturized, avoiding irritants, and practicing good hygiene can prevent bacterial cheilitis.

  • Burning Mouth Syndrome: Burning mouth syndrome (BMS) is a chronic pain disorder characterized by a burning or scalding sensation in the mouth, often accompanied by a change in taste or dry mouth. The exact cause of BMS is unknown, but it is thought to be related to a combination of factors, including nerve damage, hormonal changes, nutritional deficiencies, and certain medications. Bacterial infections have also been suggested as a possible cause of BMS. The condition can be challenging to treat and may require a combination of approaches, including medication, dietary changes, and stress management. A dentist or physician can diagnose BMS and recommend the appropriate treatment.

  • Staphylococcus Infections on the Lip: Staphylococcus infections can occur when the skin is broken or damaged, allowing bacteria to enter and cause an infection. Symptoms of Staphylococcal infections on the lip include redness, swelling, pain, and the formation of blisters or pustules. Treatment depends on the type and severity of the infection and may consist of topical or oral antibiotics.

  • Streptococcus Infections on Lips: Bacteria of the Streptococcus species cause Streptococcus infections on the lips. These infections can range from mild skin conditions to more severe conditions, such as cellulitis. Symptoms of Streptococcal diseases on the lips include redness, swelling, pain, and the formation of blisters or pustules. Treatment of Streptococcal infections typically involves topical antibiotics, depending on the severity of the disease.

  • Ludwig’s Angina: It is a bacterial infection of the floor of the mouth, including the lips. It usually occurs as a complication of dental abscess or infection. Symptoms include severe swelling, pain, difficulty swallowing and speaking, and airway obstruction. The bacteria include Streptococcus, Staphylococcus, and Anaerobic bacteria.

How Do Bacteria Affect the Lips?

Bacteria can affect the lips in various ways. They can cause infections, such as impetigo or cold sores, which can result in redness, swelling, and blistering. Bacteria can also contribute to dry, chapped lips, making them more susceptible to further infections. Additionally, certain types of bacteria can lead to bad breath or an unpleasant taste in the mouth.

How Are Bacterial Infections of the Lip Diagnosed?

Diagnosis of a bacterial infection of the lip is made based on a physical examination and the symptoms present. A sample of the infected area may be taken for laboratory analysis to confirm the presence of bacteria and determine the specific type of bacteria causing the infection.

What Is the Treatment for Bacterial Infections of the Lip?

Treatment for bacterial infections of the lip typically involves antibiotics. Topical or oral antibiotics may be prescribed, depending on the severity of the disease. In some cases, a warm compress may also be recommended to help reduce pain and swelling.

What Can Be Done to Prevent Bacterial Infections of the Lips?

Preventing bacterial infections of the lip may include the following:

  • Good hygiene practices, such as regularly washing one's hands and face. Individuals can purchase hand sanitizer to maintain cleanliness

  • Avoiding lip biting or licking.

  • Avoid sharing personal items, such as towels or makeup, with others.

  • Preventing exposure to contaminated objects or surfaces.

  • Maintaining a healthy immune system through a balanced diet and regular exercise.

Conclusion

In conclusion, bacterial infections of the lips are common skin infections that can cause redness, swelling, and pain. Angular cheilitis is caused by Staphylococcus aureus and manifests as the triangular erythematous area on one or both sides of the angle of the mouth. Treatment typically involves oral or topical antibiotics; steps can be taken to prevent infections.

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Dr. Bhadragiri Vageesh Padiyar
Dr. Bhadragiri Vageesh Padiyar

Otolaryngology (E.N.T)

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