Licence: In copyright
Credit: Vincent's angina / by J.D. Rolleston. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
12/14 (page 10)
![Ivanow, who found such coiuplications as erythema multifonue, joint pains, abscesses, and appendicitis more frequent in the cases accompanied by severe stomatitis and glossitis. Like Simonin he regarded their occurrence as due to secondary infection by strepto- cocci. The absence of serious complications in my own cases may therefore be attributed to the lack of concomitant stomatitis. Prognosis.—The present series confirms the general rule as to the benignity of Vincent’s angina. About half-a-dozen fatal cases have been recorded. In one of Bruce’s cases death was due to toxic absorption from the site of the local lesion, and in aiiotlier two to suppurative broncho-pneumonia after involvement of the larynx. Pneumonia was also the cause of death in De Carli’s case. In Giliberti’s case the angina was asso- ciated with ulcero-membranous stomatitis, which was followed by osteomyelitis of the lower jaw. In Meyer and Sclireyer’s case pernicious anmmia was probably a predisposing cause of infection by Vincent’s organisms, and explained the fatal i.ssue. In Royer’s case, which occurred in a pregnant woman, death took place a few days after delivery. In addition to ulcero-membranous stomatitis, pulmonary tuberculosis and gangrene, nephritis and endometritis were also present. Most of the.se cases, however, as Meyer has jiointed out, should be rather regarded as gangrene of the pharynx than as Vincent’s angina. Treulment.—In most cases it is suflicient to swab the affected part morning and evening with undiluted tincture of iodine, as Vincent himself recommends. If the feetor is exces.sively pene- trating, the throat may be .syringed with a solution of potassium chlorate and myrrh. In one case where the ulceration advanced in spite of these measures, the ap])lication on two successive days of powdered niethylcne-blue to the ulcers was followed by rapid healing. Both in this and in another case where this treatment was adopted from the first, the urine passed within three hours of the application was light blue, but rapidly resumed its normal colour when the methylene-blue was discontinued. No internal medication was found to be necessary in any case. SUMIIAKY. (1) Vincent’s angina is an uncommon disease, occurring in O'H per cent, of all cases of sore throat, and in 4’9 per cent, of cases of non-diphtheritic angina. (2) During a five years’ period of observation in a hospital](https://iiif.wellcomecollection.org/image/b22433491_0014.jp2/full/800%2C/0/default.jpg)
