Acute necrotizing ulcerative tonsillitis and gingivitis (Vincent's infections)

Vincent’s Angina in a 17-Year Old Girl With Emotional Stress: A Case Report

“…The patients complain of throat sore, halitosis and tonsil ulcer. Regional lymphadenopathy is variable and fever is not common (4). In this patient, stress, tonsil ulcer, halitosis and throat pain were observed.…”

“…The diagnosis on the basis of clinical symptoms can be problematic, because the disease might be confused with viral infections, diphtheria, syphilis and a group A betahemolytic streptococcal infection (3,4). Therefore, for the purpose of differentiating, pseudo-membranous and ulcerative angina should be studied in the laboratory.…”

“…Oral penicillin is one of the most important antibiotics that suggested for the treatment of these mixed anaerobic infections. When penicillin cannot be used, other antibiotics include: tetracycline, erythromycin and metronidazole have been recommended (4,6). However, in our case the patient was consumed amoxicillin and cephalexin for seven days but she did not respond to treatment.…”

“…This infection is also known as trench mouth, Acute Necrotizing Ulcerative Gingivitis (ANUG), fusospirochetal gingivitis, Vincent's stomatitis and Vincent infection (1)(2)(3)(4). There were numerous reports of this infection during the world wars (3).…”

Necrotizing Gingivitis and Periodontics an Outlook

“…ANUG is mainly due to bacterial infections and mainly associated with fusiform and spirochaete bacteria. One study identified spirochetes and majoritiy of gram-negative bacteria, including bacteriodes intermedius and Fusobacterium species as the most important causes [7,8].…”