It is an acute progressive ulceration, swelling or Ulcero-membranous stomatitis Or acute ulcerative gingivitis and stomatitis. Commonly in child and young adult.
First infection of the pharynx and palatine tonsils, causing ulcero-membranous tonsillitis and pharyngitis and then later involves the gums. In untreated cases infection cab spread the bones. This is trench mouth. The word angina comes from the latin word angene meaning to choke or throttle. This conditions is also called Vincent’s disease or vincent angina after the French physician henry Vincent.
CAUSES
- The disease cause by Vincent’s organisms – “Borrelia vincentii” ( Fusobacteria)
These are anaerobic spirochaete and fusiformis. These are gram – negative rods which are the normal pathogens of oral cavity.
- Poor oral hygiene
- Immunosuppression
- Immunosuppressive drugs
- Malnutrition
- Caries tooth
OTHERS CAUSES
- Diabetes mellitus
- Warn seasons
- Winter
SYMPTOMS
- Halitosis
- High grade Fever
- Severe pain in the mouth
- Swollen lymph node
- Difficult to swallow
- Odynophagia ( painful swallowing)
- Gum are swollen, red, inflamed with or without slough
- Exudative tonsillitis
- Malaise
- Feature of Toxaemia
- Septic emboli to the lung may lead to pulmonary abscess abd empyem
INVESTIGATION
- If you can see any symptom of above immediate consult with doctor
- _”SEROLOGICAL INVESTIGATION”_
- Infective condition of the pharynx include a great variety of different conditions, due to different type of micro organisms here so that for their accurate differential diagnosis, bacteriological investigations are necessary
- In ulcero-membraneous conditions in microscopic examination Shows the Spirochaetes and _”B. fusiformis”_
- Total Blood count
TREATMENT
- Adequate nutrition
- Maintain your oral hygiene
- High fluid intake
- To take soft diet
- Avoid smoking, drinking, hot spicy food
- Mouth wash with hydrogen peroxide help in washing away the membrane
- Injection penicillin
- Antibiotics, avoid the spread the infection
- Have your mouth cleaned or flushes gently
