Stomatitis plaut-vincenti A69.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

acute necrotizing ulcerative gingivitis; stomatitis ulceromembranacea; trench mouth

Definition
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Severe, ulcerating gingivostomatitis, caused by the interaction of various bacteria, so-called Plaut-Vincent-organisms (Borrelia vincenti, Fusobacterium plauti and others, spirochetes, bacteroid species) in case of local or generalized immune deficiency. S.a. Angina, Plaut-Vincenti. S.a.u. Gingivitis, acute, necrotizing, ulcerous.

Manifestation
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Occurs in cases of inadequate dental care or malnutrition. Mostly in young people. Epidemic occurrence in military units during World Wars I and II.

Clinical features
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Fever, poor general condition. Increased salivation, foetor ex ore. Inflammatory reddened swelling of gums and cheek mucosa. Roundish, confluent ulcerations of varying depths with mushy, purulent or necrotic strippable plaque form around the teeth in particular. Painfully swollen regional lymph nodes.

Differential diagnosis
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Therapy
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According to the angina, Plaut-Vincenti.

Progression/forecast
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Rapid healing with adequate therapy. Rare transition to severe periodontitis. Very rarely development of extensive, mutating necroses.

Disclaimer

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

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Last updated on: 29.10.2020