Angina, plaut-vincenti A69.1

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 15.03.2021

Dieser Artikel auf Deutsch

Synonym(s)

angina ulceromembranacea; Borrelia vincenti; Fusospirochetosis; ulcerative angina

Definition
This section has been translated automatically.

Acute ulcerative tonsillitis due to mixed infection with Treponema vincenti (see spirochetes below), Fusobacterium plauti and other spirochetes, Bacteroides species.

Manifestation
This section has been translated automatically.

Mostly children and young people.

Clinical features
This section has been translated automatically.

Unilateral difficulty in swallowing, greasy tonsillar coating, crater-shaped ulcer at the upper tonsillar pole. Painful swelling of lymph nodes. Foetor ex ore. The response to pneicillin is good.

Diagnostics
This section has been translated automatically.

Pathogens cannot be cultivated. Therefore microscopic detection (presence of rod bacteria and treponemes)

Differential diagnosis
This section has been translated automatically.

External therapy
This 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 therapy
This section has been translated automatically.

Penicillin V: Adults: 3 times/day 600,000 IU or 2 times/day 1 million IU p.o. for 7-10 days, in children 50,000-100,000 IU/kg bw/day.

Alternative: In 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 spread over 2-4 ED, clarithromycin (e.g. Klacid) 2 times/day 250-500 mg p.o., children 15 mg/kg bw/day spread over 2 ED, alternatively cephalosporins.

For relapse 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. in 4 EDs.

For severe pain, analgesics such as paracetamol (e.g. ben-u-ron Supp.) for children or acetylsalicylic acid (e.g. ASS) for adults.

Progression/forecast
This section has been translated automatically.

With adequate therapy usually rapid healing. Spontaneous healing is also possible. Under immunosuppression, necrotizing inflammation that progresses beyond the organ boundaries and leaves severe destruction(N0ma).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 15.03.2021