Objectives:Outline the pathophysiology of angina.Review the evaluation of angina.Summarize the treatment and management options available for angina.Describe some interprofessional team strategies for improving care coordination and communication to advance treatment for angina and improve outcomes.Access free multiple choice questions on this topic.
Angina Plaut Vincent Pdf Free
Among anaerobes, Fusobacterium necrophorum plays an exceptional role and is isolated especially in patients suffering from an oropharyngeal infection with abscess formation and thrombosis of the internal jugular vein (Lemièrres syndrome) [33]. A unilateral ulcer formation is reported in cases with a mixed infection with spirochaetes (Treponema vincentii and others) and fusobacteria (fusobacterium nucleatum and others). The findings in these cases of the so called Vincentis angina include a pain-free unilateral gray-greenish tonsillar exudation associated with a significant cloaca-like halitosis and potentially cervico-buccal abscess development [34]. An extremely rare infection is caused by Corynebacterium diphtheriae. Patients present with a white-grayish pseudo-membranes which are not limited to the tonsils but involve the surrounding mucosa of the soft palate and pharynx. The mucosa is extremely vulnerable, bleeds easily and patients are threatened by acute upper airway obstruction [35, 36]. Among others, very rare pathogens causing tonsillitis are: Corynebacterium ulcerans, Corynebacterium/Arcanobacterium haemolyticum, Fancisella tularensis, Yersinia pestis, Yersinia enterocolitica, Treponema pallidum, Mycoplasma pneumoniae, Chlamydia pneumoniae, and Chlamydia psittaci.
Unilateral tonsillitis in children also allows as a differential diagnosis a Plaut-Vincent angina (first described by Plaut and Vincent (1894)) or a mucosal aphth. In the latter, pain is in the foreground, with only minimal visible results, while the Plaut-Vincent angina, caused by the spirochete Treponema vincentii and fusiform Fusobacterium (Fusobacterium nucleatum) manifests as large, dirty, one-sided deposits, but causes hardly any pain and only minimal restrictions of the general condition [78]. 2ff7e9595c
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