VINCENT’S ANGINA

• Vincent’s angina is an acute, painful ulceromembranous stomatitis or acute ulcerative gingivitis and stomatitis.
• It may occur as-

1. Acute form- involves tissues diffusely
2. Chronic form- ulceration of tonsils

 

ETIOLOGY

• Caused by Vincent’s organisms- Borrelia vincentii, an anaerobic spirochaete & fusiform (gram-negative rods).
• Malnutrition, DM, tooth caries.

 

CLINICAL FEATURES-

• Seen in children & young adults.
• Seen in 20-40 years age
• Very painful gingival with fever, malaise & toxaemia
• Gingiva are swollen, red, inflamed.
• Difficulty in swallowing, painful swallowing (odynophagia), foetor oris.

 

TREATMENT-

• Mouth wash with hydrogen peroxide
• Injection penicillin (6-7 days)
• Metronidazole for anaerobic organism

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