. Diseases of the mouth; for physicians, dentists, medical and dental students . red; the sub-maxillary lymph nodes diminished in size, and afterfourteen days there was no trace of the disease, ex-cepting a slight swelling of the lymph nodes. The pa-tient was kept under regular observation for severalweeks. There was no manifestation of syphilis, andthe Wassermann reaction which was at first negativeremained so. This is a case of a non-specific ulcer of the tonsil,which, in view of the microscojiic findings, viz.: spi-rilla and fusiform bacilli, is to be classed in the Plaut-Vincent angina gro
. Diseases of the mouth; for physicians, dentists, medical and dental students . red; the sub-maxillary lymph nodes diminished in size, and afterfourteen days there was no trace of the disease, ex-cepting a slight swelling of the lymph nodes. The pa-tient was kept under regular observation for severalweeks. There was no manifestation of syphilis, andthe Wassermann reaction which was at first negativeremained so. This is a case of a non-specific ulcer of the tonsil,which, in view of the microscojiic findings, viz.: spi-rilla and fusiform bacilli, is to be classed in the Plaut-Vincent angina group. This case, in which nobodybelieved the lesion to be anything other than a chancreof the tonsil, shows how carefid one must be in mak-ing a diagnosis, even when aided by the findings ofthe dark-field-microscope, as it occasionally happensthat the spirochaeta dentium (treponema microden-tium) and especially the medium form (treponemamacrodentium) may be found, and these are oftendifficult to distinguish morphologically from the tre-ponema pallidum. 204 Plate XXXIII. Fig. 41. PLATE XXXIV Figure 42.—Angina Ulcerosa Traumatica(Ulcerated Traumatic Angina). (Plaut-Vincent Angina?) A man in good health, forty-two years old, whoemphatically denied ever having had syphilis, had aforeign body stick into the soft palate near the small pustule developed. After some days a phy-sician removed the foreign body from this resulting small ulcer did not heal, but graduallyincreased in size, so that in about four weeks it hada diameter of about 6 mm, and as a crescentic ulcer in-volved the upper part of the left anterior pillar of thefauces. When the patient came under our observa-tion, the ulcer had almost completely healed, except-ing the serpiginous part which had extended to theleft pillar of the fauces, where there was seen a hol-lowed-out ulcer about the size of a lentil with a yel-lowish-white floor. The scar felt quite firm. Thesurrounding mucous membrane was red,
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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912
