Stomatitis plaut-vincentiA69.1
Synonym(s)
acute necrotizing ulcerative gingivitis; stomatitis ulceromembranacea; trench mouth
DefinitionThis section has been translated automatically.
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.
ManifestationThis section has been translated automatically.
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 featuresThis section has been translated automatically.
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 diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
According to the angina, Plaut-Vincenti.
Progression/forecastThis section has been translated automatically.
Rapid healing with adequate therapy. Rare transition to severe periodontitis. Very rarely development of extensive, mutating necroses.