Synonym(s)
angina ulceromembranacea; Borrelia vincenti; Fusospirochetosis; ulcerative angina
DefinitionThis section has been translated automatically.
Acute ulcerative tonsillitis caused by mixed infection with Borrelia vincenti, Fusobacterium plauti and other spirochetes, bacteroid species.
ManifestationThis section has been translated automatically.
Mostly children and young people.
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Clinical featuresThis section has been translated automatically.
Unilateral difficulty in swallowing, greasy tonsil coating, crater-shaped ulcer at the upper pole of the tonsil. Painful swelling of the lymph nodes. Foetor ex ore.
Differential diagnosisThis section has been translated automatically.
Diphtheria, syphilitic primary effect, angina lacunaris.
External therapyThis section has been translated automatically.
Antiseptic mouth rinses with chlorhexidine gargle solution(e.g. Chlorhexidine gluconate solution, R045 ), tormentil astringent (e.g. Repha-OS Mouth Spray S, R255 ) or dexpanthenol solution(e.g. Bepanthen, R066 ).
Internal therapyThis section has been translated automatically.
- Penicillin V: Adults: 3 times/day 600,000 IU or 2 times/day 1 million IU p.o. over 7-10 days, for children 50,000-100,000 IU/kg bw/day
- Alternative: In case of penicillin allergy erythromycin (e.g. paediathrocin) 3-4 times/day 250-500 mg p.o. or i.v., children 20-50 mg/kg bw/day distributed on 2-4 ED, clarithromycin (e.g. Klacid) 2 times/day 250-500 mg p.o., children 15 mg/kg bw/day distributed on 2 ED, alternatively cephalosporins.
- In case of recurrence p.o. cephalosporin or clindamycin (e.g. sobelin) 3-4 times 300 mg/day p.o., children 8-25 mg/kg bw/day p.o. divided into 4 ED.
- For severe pain analgesics like paracetamol (e.g. ben-u-ron Supp.) for children or acetylsalicylic acid (e.g. ASS) for adults.
Progression/forecastThis section has been translated automatically.
With adequate therapy, usually rapid healing.
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Incoming links (10)
Angina, streptococcal angina; Borrelia vincenti; Chlorhexidine mouth rinse solution 0.1 or 0.2% (nrf 7.2.); Dexpanthenol solution 5% (nrf 7.3.); Fusospirochetosis; Halitosis; Herpangina; Stomatitis plaut-vincenti; Tormentil myrrh astringent (nrf 7.1.); Ulcerative angina;Outgoing links (15)
Acetylsalicylic acid; Analgesics; Cephalosporins; Chlorhexidine; Chlorhexidine mouth rinse solution 0.1 or 0.2% (nrf 7.2.); Clindamycin; Dexpanthenol; Dexpanthenol solution 5% (nrf 7.3.); Diphtheria; Erythromycin; ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer