Vincent's angina - Revision history

Danbot: Strip excess bold

2026-03-22T09:35:09Z

Strip excess bold

← Older revision		Revision as of 09:35, 22 March 2026
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	===Uncomplicated Disease===		===Uncomplicated Disease===
	*[[Amoxicillin]] 250mg 3 x daily for 7 days ~~'''~~AND/OR~~'''~~		*[[Amoxicillin]] 250mg 3 x daily for 7 days AND/OR
	*[[Metronidazole]] 250mg 3 x daily for 7 days<ref>Atout R. N. et al. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc 2013;79:d46. http://www.jcda.ca/article/d46. Accessed April 2015</ref>		*[[Metronidazole]] 250mg 3 x daily for 7 days<ref>Atout R. N. et al. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc 2013;79:d46. http://www.jcda.ca/article/d46. Accessed April 2015</ref>

	===Complicated Disease===		===Complicated Disease===
	*[[Penicillin V]] 500mg PO q6 hours ~~'''~~PLUS~~'''~~ [[metronidazole]] 500mg PO q8 hours x 10 days ~~'''~~OR~~'''~~		*[[Penicillin V]] 500mg PO q6 hours PLUS [[metronidazole]] 500mg PO q8 hours x 10 days OR
	*[[Amoxicillin]] 500mg PO TID ~~'''~~PLUS~~'''~~ [[metronidazole]] 250mg PO TID for 10d ~~'''~~OR~~'''~~		*[[Amoxicillin]] 500mg PO TID PLUS [[metronidazole]] 250mg PO TID for 10d OR
	*[[Amoxicillin-clavulanate]] 500mg/125mg PO TID or 875mg/125mg PO BID for 10d ~~'''~~OR~~'''~~		*[[Amoxicillin-clavulanate]] 500mg/125mg PO TID or 875mg/125mg PO BID for 10d OR
	*[[Clindamycin]] 150-300mg PO TID for 10d ~~'''~~OR~~'''~~		*[[Clindamycin]] 150-300mg PO TID for 10d OR
	*[[Doxycycline]] 100mg PO BID for 10d<ref>Stephen J. et al Acute Necrotizing Ulcerative Gingivitis Empiric Therapy. http://emedicine.medscape.com/article/2028117-overview. Accessed April 2015</ref>		*[[Doxycycline]] 100mg PO BID for 10d<ref>Stephen J. et al Acute Necrotizing Ulcerative Gingivitis Empiric Therapy. http://emedicine.medscape.com/article/2028117-overview. Accessed April 2015</ref>

Rossdonaldson1: /* Background */

2021-12-11T13:50:21Z

Background

← Older revision		Revision as of 13:50, 11 December 2021
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	==Background==		==Background==
			[[File:Gray1014.png\|thumb\|Anatomy of the posterior pharynx.]]
	*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous [[pharyngitis]] and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>		*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous [[pharyngitis]] and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>
	*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]] (ANUG)		*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]] (ANUG)

Rossdonaldson1: /* Differential Diagnosis */

2020-02-03T22:04:52Z

Differential Diagnosis

← Older revision		Revision as of 22:04, 3 February 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Sore throat DDX}}		{{Sore throat DDX}}
			{{Dental Problems DDX}}
	{{DDX oral rashes and lesions}}		{{DDX oral rashes and lesions}}

Rossdonaldson1: /* Clinical FeaturesMarx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby. */

2020-02-03T22:01:46Z

Clinical FeaturesMarx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.

← Older revision		Revision as of 22:01, 3 February 2020
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	==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==		==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==
			[[File:Vincent angina right.jpg\|thumb\|Pseudomembrane of right tonsil.]]
	*Superficial ulceration and necrosis of the tonsils and pharynx that often results in formation of a pseudomembrane		*Superficial ulceration and necrosis of the tonsils and pharynx that often results in formation of a pseudomembrane
	*Foul smelling breath		*Foul smelling breath

Rossdonaldson1: /* Background */

2020-02-03T21:56:04Z

Background

← Older revision		Revision as of 21:56, 3 February 2020
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	==Background==		==Background==
	*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous [[pharyngitis]] and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>		*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous [[pharyngitis]] and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>
	*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]]		*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]] (ANUG)
	*Vincent's angina is sometimes confused with ANUG, but the former is tonsillitis and pharyngitis, and the latter involves the gums		*Vincent's angina is sometimes confused with [[ANUG]], but the former is tonsillitis and pharyngitis, and the latter involves the gums

	==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==		==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==

SuperD: /* Clinical FeaturesMarx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby. */

2020-02-03T03:31:17Z

Clinical FeaturesMarx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.

← Older revision		Revision as of 03:31, 3 February 2020
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	*Submandibular [[lymphadenopathy]]		*Submandibular [[lymphadenopathy]]
	*Exudate		*Exudate
	*~~Patietns~~ typically have poor oral hygiene		*Patients typically have poor oral hygiene

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Management */

2017-08-11T21:08:39Z

Management

← Older revision		Revision as of 21:08, 11 August 2017
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	==Management==		==Management==
	*Organisms involved are polymycrobial but often include [[Fusobacterium necrophorum]], [[Treponema\|Treponema ~~pallidum~~]], Selenomonas, and Prevotella		*Organisms involved are polymycrobial but often include [[Fusobacterium necrophorum]], [[Treponema pallidum\|Treponema]], Selenomonas, and Prevotella

	===Uncomplicated Disease===		===Uncomplicated Disease===

ClaireLewis at 21:06, 11 August 2017

2017-08-11T21:06:41Z

← Older revision		Revision as of 21:06, 11 August 2017
Line 1:		Line 1:
	==Background==		==Background==
	*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous pharyngitis and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>		*Fusospirochetal infection of the pharynx and palatine tonsils, causing "ulcero-membranous [[pharyngitis]] and tonsillitis"<ref>Taylor, FE; McKinstry, WH (1917). "The Relation of Peri-dental Gingivitis to Vincent's Angina." Proceedings of the Royal Society of Medicine. 10 (Laryngol Sect): 43–8. </ref>
	*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]]		*Same pathogenic organisms as [[acute necrotizing ulcerative gingivitis]]
	*Vincent's angina is sometimes confused with ANUG, but the former is tonsillitis and pharyngitis, and the latter involves the gums		*Vincent's angina is sometimes confused with ANUG, but the former is tonsillitis and pharyngitis, and the latter involves the gums

	==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==		==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==
	*Superficial ulceration and necrosis of the tonsils and pharynx that often ~~reuslts~~ in formation of a pseudomembrane		*Superficial ulceration and necrosis of the tonsils and pharynx that often results in formation of a pseudomembrane
	*Foul smelling breath		*Foul smelling breath
	*Odynophagia		*Odynophagia
	*Submandibular lymphadenopathy		*Submandibular [[lymphadenopathy]]
	*Exudate		*Exudate
	*Patietns typically have poor oral hygiene		*Patietns typically have poor oral hygiene
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	==Management==		==Management==
	*Organisms involved are polymycrobial but often include Fusobacterium necrophorum, Treponema ~~spp~~, Selenomonas, and Prevotella		*Organisms involved are polymycrobial but often include [[Fusobacterium necrophorum]], [[Treponema\|Treponema pallidum]], Selenomonas, and Prevotella

	===Uncomplicated Disease===		===Uncomplicated Disease===

Mholtz at 04:03, 19 July 2017

2017-07-19T04:03:45Z

← Older revision		Revision as of 04:03, 19 July 2017
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	===Uncomplicated Disease===		===Uncomplicated Disease===
	*Antibiotics		*[[Amoxicillin]] 250mg 3 x daily for 7 days '''AND/OR'''
	**[[Amoxicillin]] 250mg 3 x daily for 7 days ~~and~~/or		*[[Metronidazole]] 250mg 3 x daily for 7 days<ref>Atout R. N. et al. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc 2013;79:d46. http://www.jcda.ca/article/d46. Accessed April 2015</ref>
	**[[Metronidazole]] 250mg 3 x daily for 7 days<ref>Atout R. N. et al. Managing Patients with Necrotizing Ulcerative Gingivitis. J Can Dent Assoc 2013;79:d46. http://www.jcda.ca/article/d46. Accessed April 2015</ref>

	===Complicated Disease===		===Complicated Disease===
	*Antibiotics		*[[Penicillin V]] 500mg PO q6 hours '''PLUS''' [[metronidazole]] 500mg PO q8 hours x 10 days '''OR'''
	**[[Penicillin V]] 500mg PO q6 hours ~~AND~~ [[metronidazole]] 500mg PO q8 hours x 10 days '''or'''		*[[Amoxicillin]] 500mg PO TID '''PLUS''' [[metronidazole]] 250mg PO TID for 10d '''OR'''
	**[[Amoxicillin]] 500mg PO TID ~~for 10d plus~~ [[metronidazole]] 250mg PO TID for 10d '''or'''		*[[Amoxicillin-clavulanate]] 500mg/125mg PO TID or 875mg/125mg PO BID for 10d '''OR'''
	**[[Amoxicillin-clavulanate]] 500mg/125mg PO TID or 875mg/125mg PO BID for 10d '''or'''		*[[Clindamycin]] 150-300mg PO TID for 10d '''OR'''
	**[[Clindamycin]] 150-300mg PO TID for 10d '''or'''		*[[Doxycycline]] 100mg PO BID for 10d<ref>Stephen J. et al Acute Necrotizing Ulcerative Gingivitis Empiric Therapy. http://emedicine.medscape.com/article/2028117-overview. Accessed April 2015</ref>
	**[[Doxycycline]] 100mg PO BID for 10d<ref>Stephen J. et al Acute Necrotizing Ulcerative Gingivitis Empiric Therapy. http://emedicine.medscape.com/article/2028117-overview. Accessed April 2015</ref>

	==Disposition==		==Disposition==


	==See Also==		==See Also==
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	==External Links==		==External Links==


	==References==		==References==

Lisayee25: /* Clinical Features */

2017-07-19T02:37:35Z

Clinical Features

← Older revision		Revision as of 02:37, 19 July 2017
Line 4:		Line 4:
	*Vincent's angina is sometimes confused with ANUG, but the former is tonsillitis and pharyngitis, and the latter involves the gums		*Vincent's angina is sometimes confused with ANUG, but the former is tonsillitis and pharyngitis, and the latter involves the gums

	==Clinical Features==		==Clinical Features<ref>Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2002). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby.</ref>==
	*Superficial ulceration and necrosis of the tonsils and pharynx that often reuslts in formation of a pseudomembrane		*Superficial ulceration and necrosis of the tonsils and pharynx that often reuslts in formation of a pseudomembrane
	*Foul smelling breath		*Foul smelling breath