Angina Plaut-Vincent
| Classification according to ICD-10 | |
|---|---|
| A69 | Other spirochete infections |
| A69.1 | Other fusospirochatoses - Plaut-Vincent angina |
| ICD-10 online (WHO version 2019) | |
The acute necrotizing ulcerative gingivitis (including angina Plaut Vincenti ) is a relatively rare form of tonsillitis (tonsillitis). The terms ulcerative tonsillitis and ulceromembranous tonsillitis are synonymous . The pathogen was first described in 1894 by the German bacteriologist HC Plaut from Leipzig, and a little later by the French scientist JH Vincent .
It is caused by a mixed infection from the helically wound, oxygen-sensitive spirochete Treponema vincentii and spindle-shaped fusobacteria ( Fusobacterium nucleatum ) and manifests itself in moderate, predominantly one-sided swallowing difficulties with a relatively slightly disturbed general condition and usually freedom from fever. The contrast between the comparatively minor complaints and the considerable local findings is striking. In contrast to streptococcal angina, a fibrin-covered ulcer is usually unilateral and forms on the palatine tonsil , which is accompanied by tissue destruction ( necrosis) of the mucous membrane. Typical here is a foul-smelling gray-greenish smeary coating of the ulcer, which differs clearly from the white specks of the more common streptococcal tonsillitis. Young people are more often affected by the disease.
The disease is usually treated with penicillin or a penicillin derivative, like streptococcal tonsillitis .
Differential diagnosis includes tuberculosis , syphilis or a malignant neoplasm .
Plaut-Vincent angina is the best-known form of the so-called fusotreponematoses , which can also occur outside the tonsils on the pharynx and gums. The noma also belongs to this group of diseases.
Diagnosis
A diagnosis is made clinically. Unilaterally in the area of the tonsil there is a well demarcated flat ulcer with a white to yellowish-gray coating. The decisive factor is the discrepancy between the findings and the slightly reduced general condition.
literature
- H. Ganz and V. Jahnke (eds.): Ear, Nose and Throat Medicine. 2nd Edition. de Gruyter, 1996.
- W. Becker, HH Naumann, CR Pfaltz: Ear, nose and throat medicine. 2nd Edition. Thieme, Stuttgart 1983.
