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Angina Plauta and Vincenta is a bacterial disease that occurs mainly in men. The tonsil lesions (usually one) look like a dirty gray coating, usually in the upper end of the tonsil. Patients usually complain of a sore throat on the side of the affected tonsil, especially when swallowing. Another symptom of the disease is bad breath.
What is Plautus and Vincent’s angina?
Angina Plauta and Vincenta is a bacterial ailment, a special type of pharyngitis that occurs quite rarely. It attacks men much more often than women. Angina causes changes to the tonsil (usually one) that resemble a dirty gray coating, usually in the upper part of the tonsil. This disease is also characterized by a large difference between the mildly bothersome symptoms reported by patients and what is in the throat. Angina Plaut and Vincent was first described by Hugo Carl Plaut, who was a German physician and bacteriologist, and Jean Henri Vincent, who in turn was a French physician. As for Polish literature, the first reports of this disease appeared in 1903 and 1906.
Where does Plaut’s and Vincent’s angina come from?
Angina Plaut-Vincenta is probably caused by a variety of bacteria. Throat swab examination reveals the following spirochetes and fusiformes:
- Treponema winning;
- Fusobacterium necrophorum;
- Leptotrichia buccalis.
However, there are no specific findings that these bacteria are the cause of Plaut-Vincent’s angina, or that they appear secondarily in the form of superinfection. Bacteria usually show up in young patients who neglect oral hygiene or are malnourished.
Symptoms of Plautus and Vincent’s angina
The main ailment accompanying Plaut-Vincent’s angina is – slight sore throat in the area of the affected tonsil, which intensifies when swallowing. The lymph nodes in the neck on the side corresponding to the affected tonsil are enlarged. The environment feels an unpleasant odor from the patient’s mouth.
However, the general symptoms (usually of low intensity), despite the acute course of angina, include:
- general feeling of being unwell
- pain felt when swallowing food (usually on one side)
- throat discomfort.
In addition, an ORL examination in the throat reveals membranous-ulcerative lesions that usually affect one almond. It is then covered with a gray coating under which there are deep ulcers. Bleeding occurs when trying to separate the raid from the tonsil. These types of lesions can spread to other areas of the mouth, such as the palate, gums, the second tonsil or the cheeks.
Angina Plauta and Vincenta – diagnosis
The diagnosis of the disease requires, first of all, to distinguish it from malignant lesions of the palatine tonsil. For this, a biopsy is performed or a cut from the tonsil is taken. In addition, doctors consider acute leukemia, diphtheria, and agranulocytic angina.
Microbes can be detected using a smear on a glass slide. The formulation is then fixed over a flame and stained with a weak solution of methyl blue. You can also grow each microorganism separately on the media.
Treatment of Plaut’s and Vincent’s angina
Before starting the proper treatment of Plaut’s and Vincent’s angina, which should be carried out by an ENT specialist, an effective method is rinsing the throat with a solution of hydrogen peroxide (1 tablespoon per 1/2 cup of boiled water). It is even more effective to brush the raid on the tonsil ulcer with 3–6% hydrogen peroxide with a cotton wool brush, which you can get at the pharmacy.
On the other hand, proper treatment is based on taking antibiotics (penicillin group) and preparations that alleviate symptoms (disinfectants and antipyretics). The raid separates spontaneously, usually after 1-2 weeks, but sometimes it is necessary to remove it mechanically.