# Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document C(2012) 5538) (Text with EEA relevance) (2012/506/EU), Division: EENT-ORAL: Oral cavity (mouth, tongue, or gums)

Extent: E+W+S+N.I.

Oral cavity infections must meet at least one of the following criteria:
Patient has organisms cultured from purulent material from tissues of oral cavity
Patient has an abscess or other evidence of oral cavity infection seen on direct examination, during a surgical operation, or during a histopathologic examination
Patient has at least one of the following signs or symptoms with no other recognised cause: abscess, ulceration, or raised white patches on inflamed mucosa, or plaques on oral mucosa
AND at least one of the following:
organisms seen on Gram’s stain
positive KOH (potassium hydroxide) stain
multinucleated giant cells seen on microscopic examination of mucosal scrapings
positive antigen test on oral secretions
diagnostic single antibody titer (IgM) or four-fold increase in paired sera (IgG) for pathogen
physician diagnosis of infection and treatment with topical or oral antifungal therapy

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Source: https://www.legislation.gov.uk/eudn/2012/506/annex/division/3/division/3.1/division/3.1.6/division/4 (the official version)
Page: https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.6/division-4
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.