Angina Vincent-Simanovsky-Plaut is a necrotic lesion of the tonsils, provoked by the fusiform Bacillus. Often the disease occurs in emaciated and weakened previously migrated diseases people. Especially often it appears with a lack of consumption of foods rich in proteins and amino acids.
Angina Simanovsky-Plaut-Vincent refers to ulcerative-necrotic lesions of the mucosa of the mouth and throat. The first outbreak of the disease was recorded in 1888 in Finland, however, a detailed description of his symptoms and characteristics of the flow was done much later.
The causative agent of angina simanovskiy-Vincent are fusiform bacilli and spirochaetes. These microorganisms are present in the oral cavity of each person and become pathogenic only under certain conditions, for example:
Most Often this disease occurs in malnourished and immunocompromised people. Sometimes she can wear an epidemic. There were cases when the pathological process was due to the presence in the oral cavity of carious teeth, gingivitis, periodontitis and many other diseases that contribute to the reproduction of pathogenic microorganisms.
Diseases that are called-the names of the doctors appear only in the case if the specialist described a rare form of the disease. These include infectious, necrotic-ulcerative angina Simanovsky-Plaut-Vincent. For the first time the symptoms described Russian otolaryngologist – Simanovsky. Studies continued French doctors Vincent and Plaut, who managed to identify the causative agent of this disease.
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This wand is present in the mouth each person, however, inflammatory processes begin only when it is actively propagated.
Causes and symptoms of angina simanovskiy-Vincent can be different, so it is important to consider predisposing factors, and early to recognize the beginning of the pathological process, as it can cause serious complications. This is a rare disease that occurs in approximately 3-5 people out of a thousand. Is characterized by purulent-necrotic lesions of the tonsils. Mostly, the inflammatory process affects only one side but may be bilateral involvement.
Necrotic angina occurs mainly as a result of previously transferred infectious lesions of the oral mucosa, but may also occur as an independent disease. There are several factors that can cause the formation of ulcerative-necrotic angina simanovskiy-Vincent, for example:
In addition, the disease can occur in people suffering from cancers, radiation sickness and leukemia. The formation of ulcers and necrotic lesions in the oral mucosa and tonsils can talk about not enough good oral hygiene.
Angina Vincent-Simanovsky may be primary or secondary. Suppuration of the gums and tooth decay can cause the primary form of the disease. Secondary infection is diagnosed with scarlet fever, diphtheria and other serious infectious diseases.
The Symptoms of angina Simanovsky-Plaut-Vincent directly depend on the degree of lesion of the tonsils. Among the characteristic signs of the disease are the following:
The mild form of the disease symptoms has similarities with pharyngitis, which makes it even more insidious. For this form of the pathological process is characterized by a slight fever, no pain when swallowing, feeling sore and dry mouth. Areas of redness strongly expressed and localized on the surface of the tonsils, also there is a slight increase in lymph nodes in the neck, but they absolutely painless.
When the flow of necrotic angina of moderate severity disease resembles tonsillitis. Characteristic features of this disease are:
Symptoms of the severe form is characterized by the fact that the disease very quickly turns into a complication. Among the main signs of the disease can be identified such:
Complications arise infrequently, however, it is important to diagnose and treatment to quickly get rid of necrotic lesions.
Initially, the doctor conducts a visual inspection, and clarifies existing symptoms. Definitely need more detail to tell, as this depends largely on the correctness of diagnosis.
After collecting the medical history the specialist inspection of the throat with pharyngoscope and palpation of the cervical lymph nodes. To determine the number of leukocytes, monocytes and lymphocytes in the blood and the erythrocyte assigned clinical analysis of blood.
To discover the causative agent and define its sensitivity to antibiotics, antibacterial is assigned a seeding from the nose and throat. To study the immune reactions of the body is carried out serological testing.
The peculiarity of the treatment of angina Simanovsky-Plaut-Vincent largely depends on the form of disease, and presence of complications. For uncomplicated the patient is in a hospital infectious disease ward for 1-3 weeks. Initially, you need to ensure that the disease process has not spread deeply into the oral cavity and adjacent tissues.
During therapy apply medication drugs, traditional medicines, vitamin therapy, inhalation, and need a special diet that will allow you to achieve a more rapid recovery.
The Treatment of angina is rather long and requires strict adherence to all doctor appointments. Antibacterial drugs and their dosage steal up strictly individually, only after a bacteriological analysis. The most productive are those medications:
With proper use of antibiotics signs of necrotic angina are literally in 3-4 days. To achieve recovery, you need to complete a full course of antibacterial therapy, which assigns a doctor. Often patients are prescribed macrolides exactly as they are less aggressive and have minimal negative impact on the stomach and intestines.
In addition, macrolides different from other Antibacterials low levels of toxicity, but have a good antimicrobial effect. The drugs are preferably administered intramuscularly, but you need to take into account the patient's age, weight and severity of the disease.
In Addition to the internal use of drugs requires local effects on inflammation. For this purpose, the daily treatment of the affected areas with hydrogen peroxide, but also need to gargle 4-5 times a weak solution of potassium permanganate, to irrigate sprays with antibacterial effect. You need to lubricate the tonsils with a solution of iodine and other iodine-containing drugs.
To get the maximum benefit from therapy, prescribe a course of physiotherapy. The duration of treatment is not less than 10 days. If necessary, physiotherapy must be repeated.
The Treatment of angina Vincent-Simanovsky folk remedies should be combined with antibacterial therapy. For gargling, it is recommended to apply immunostimulant and anti-inflammatory drugs and decoctions, for example:
Angina Vincent-Simanovsky necessarily requires not only proper treatment but also diet. Since the occurrence of the disease the patient experiences severe pain in the throat and it's hard to swallow, all consumed food must be soft and warm. Products must not contain aggressive components that will irritate the throat. In addition, the diet definitely needs to be enriched with vitamins and proteins.
If the patient neglects diet, then this can significantly delay the process of recovery, which may lead to the development of various complications.
Not To long and expensive treatment, be sure to carry out some preventive measures. Among the measures of prevention are the following:
Definitely need to worry about strengthening the immune system, and timely treatment of diseases that can lead to its weakening.
The consequences of the disease can be very dangerous. If the disease continues for a long time, the surface of the sores start to become more deep and in form resemble the craters that go beyond the gland.
In some cases this can lead to the destruction of bone wall, which causes very serious bleeding. The disease can affect the gum tissue and the tongue, which leads to necrosis. Very dangerous is the disease during pregnancy, which leads to oxygen starvation of the fetus and miscarriage.
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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."
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