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Disponible en 16 langues." > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-16" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">16 langues</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A7%D9%84%D8%AA%D9%87%D8%A7%D8%A8_%D8%A7%D9%84%D9%84%D8%AB%D8%A9_%D8%A7%D9%84%D8%AA%D9%82%D8%B1%D8%AD%D9%8A_%D8%A7%D9%84%D9%86%D8%A7%D8%AE%D8%B1_%D8%A7%D9%84%D8%AD%D8%A7%D8%AF" title="التهاب اللثة التقرحي الناخر الحاد – arabe" lang="ar" hreflang="ar" data-title="التهاب اللثة التقرحي الناخر الحاد" data-language-autonym="العربية" data-language-local-name="arabe" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Angina_Plaut-Vincent" title="Angina Plaut-Vincent – allemand" lang="de" hreflang="de" data-title="Angina Plaut-Vincent" data-language-autonym="Deutsch" data-language-local-name="allemand" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Vincent%27s_angina" title="Vincent's angina – anglais" lang="en" hreflang="en" data-title="Vincent's angina" data-language-autonym="English" data-language-local-name="anglais" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Angina_de_Vincent" title="Angina de Vincent – espagnol" lang="es" hreflang="es" data-title="Angina de Vincent" data-language-autonym="Español" data-language-local-name="espagnol" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Vincenti_angiin" title="Vincenti angiin – estonien" lang="et" hreflang="et" data-title="Vincenti angiin" data-language-autonym="Eesti" data-language-local-name="estonien" class="interlanguage-link-target"><span>Eesti</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Vincenten_angina" title="Vincenten angina – basque" lang="eu" hreflang="eu" data-title="Vincenten angina" data-language-autonym="Euskara" data-language-local-name="basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%AF%D9%87%D8%A7%D9%86_%D8%AE%D9%86%D8%AF%D9%82%DB%8C" title="دهان خندقی – persan" lang="fa" hreflang="fa" data-title="دهان خندقی" data-language-autonym="فارسی" data-language-local-name="persan" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Stomatite_di_Vincent" title="Stomatite di Vincent – italien" lang="it" hreflang="it" data-title="Stomatite di Vincent" data-language-autonym="Italiano" data-language-local-name="italien" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E5%A3%8A%E6%AD%BB%E6%80%A7%E6%BD%B0%E7%98%8D%E6%80%A7%E6%AD%AF%E5%91%A8%E7%82%8E" title="壊死性潰瘍性歯周炎 – japonais" lang="ja" hreflang="ja" data-title="壊死性潰瘍性歯周炎" data-language-autonym="日本語" data-language-local-name="japonais" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EA%B8%89%EC%84%B1_%EA%B4%B4%EC%82%AC%EC%84%B1_%EA%B6%A4%EC%96%91%EC%84%B1_%EC%B9%98%EC%9D%80%EC%97%BC" title="급성 괴사성 궤양성 치은염 – coréen" lang="ko" hreflang="ko" data-title="급성 괴사성 궤양성 치은염" data-language-autonym="한국어" data-language-local-name="coréen" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%A4%E0%AD%80%E0%AC%AC%E0%AD%8D%E0%AC%B0_%E0%AC%A8%E0%AD%87%E0%AC%95%E0%AD%8D%E0%AC%B0%E0%AD%8B%E0%AC%9F%E0%AC%BE%E0%AC%87%E0%AC%9C%E0%AC%BF%E0%AC%82_%E0%AC%85%E0%AC%B2%E0%AC%B8%E0%AC%B0%E0%AD%87%E0%AC%9F%E0%AC%BF%E0%AC%AD_%E0%AC%9C%E0%AC%BF%E0%AC%9E%E0%AD%8D%E0%AC%9C%E0%AC%BF%E0%AC%AD%E0%AC%BE%E0%AC%87%E0%AC%9F%E0%AC%BF%E0%AC%B8" title="ତୀବ୍ର ନେକ୍ରୋଟାଇଜିଂ ଅଲସରେଟିଭ ଜିଞ୍ଜିଭାଇଟିସ – odia" lang="or" hreflang="or" data-title="ତୀବ୍ର ନେକ୍ରୋଟାଇଜିଂ ଅଲସରେଟିଭ ଜିଞ୍ଜିଭାଇଟିସ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Angina_Plauta-Vincenta" title="Angina Plauta-Vincenta – polonais" lang="pl" hreflang="pl" data-title="Angina Plauta-Vincenta" data-language-autonym="Polski" data-language-local-name="polonais" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Gengivite_ulcerativa_necrosante_aguda" title="Gengivite ulcerativa necrosante aguda – portugais" lang="pt" hreflang="pt" data-title="Gengivite ulcerativa necrosante aguda" data-language-autonym="Português" data-language-local-name="portugais" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%AF%D0%B7%D0%B2%D0%B5%D0%BD%D0%BD%D0%BE-%D0%BF%D0%BB%D1%91%D0%BD%D1%87%D0%B0%D1%82%D0%B0%D1%8F_%D0%B0%D0%BD%D0%B3%D0%B8%D0%BD%D0%B0" title="Язвенно-плёнчатая ангина – russe" lang="ru" hreflang="ru" data-title="Язвенно-плёнчатая ангина" data-language-autonym="Русский" data-language-local-name="russe" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Fusospiroket_stomatiti" title="Fusospiroket stomatiti – turc" lang="tr" hreflang="tr" data-title="Fusospiroket stomatiti" data-language-autonym="Türkçe" data-language-local-name="turc" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%A4%D1%83%D0%B7%D0%BE%D1%81%D0%BF%D1%96%D1%80%D0%BE%D1%85%D0%B5%D1%82%D0%BE%D0%B7%D0%BD%D0%B8%D0%B9_%D1%84%D0%B0%D1%80%D0%B8%D0%BD%D0%B3%D1%96%D1%82" 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<div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="fr" dir="ltr"><div class="bandeau-container metadata homonymie hatnote"><div class="bandeau-cell bandeau-icone" style="display:table-cell;padding-right:0.5em"><span class="noviewer" typeof="mw:File"><a href="/wiki/Aide:Homonymie" title="Aide:Homonymie"><img alt="Page d’aide sur l’homonymie" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Logo_disambig.svg/20px-Logo_disambig.svg.png" decoding="async" width="20" height="15" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Logo_disambig.svg/30px-Logo_disambig.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Logo_disambig.svg/40px-Logo_disambig.svg.png 2x" data-file-width="512" data-file-height="375" /></a></span></div><div class="bandeau-cell" style="display:table-cell;padding-right:0.5em"> <p>Pour les articles homonymes, voir <a href="/wiki/Vincent" class="mw-disambig" title="Vincent">Vincent</a>. </p> </div></div> <div class="bandeau-container metadata bandeau-article bandeau-niveau-ebauche"><div class="bandeau-cell bandeau-icone" style="display:table-cell;padding-right:0.5em"><span class="noviewer" typeof="mw:File"><a href="/wiki/Fichier:Star_of_life2.svg" class="mw-file-description"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/35px-Star_of_life2.svg.png" decoding="async" width="35" height="35" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/53px-Star_of_life2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/70px-Star_of_life2.svg.png 2x" data-file-width="192" data-file-height="192" /></a></span></div><div class="bandeau-cell" style="display:table-cell;padding-right:0.5em"> <p><strong class="bandeau-titre">Cet article est une <a href="/wiki/Aide:%C3%89bauche" title="Aide:Ébauche">ébauche</a> concernant la <a href="/wiki/M%C3%A9decine" title="Médecine">médecine</a>.</strong> </p> <div class="nomobile"> <p>Vous pouvez partager vos connaissances en l’améliorant (<b><a href="/wiki/Aide:Comment_modifier_une_page" title="Aide:Comment modifier une page">comment ?</a></b>) selon les recommandations des <a href="/wiki/Projet:Accueil" title="Projet:Accueil">projets correspondants</a>. </p> Consultez la liste des <b>tâches à accomplir</b> en <a href="/wiki/Discussion:Angine_de_Vincent" title="Discussion:Angine de Vincent">page de discussion</a>.</div> </div></div> <div class="infobox_v3 infobox infobox--frwiki noarchive large" style="width:22em"> <div class="entete icon defaut" style="background-color: lightgrey; color: #000000;"> <div>Angine de Vincent</div> </div> <p class="mw-empty-elt"> </p> <table><caption class="hidden" style="">Données clés</caption> <tbody><tr> <th scope="row"><a href="/wiki/%C3%89tiologie" title="Étiologie">Causes</a></th> <td> <span class="wd_p828"><a href="/wiki/Maladie_infectieuse" title="Maladie infectieuse">Infection</a><span class="noprint wikidata-linkback skin-invert"><span class="mw-valign-baseline noviewer" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q539465?uselang=fr#P828" title="Voir et modifier les données sur Wikidata"><img alt="Voir et modifier les données sur Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/10px-Blue_pencil.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/15px-Blue_pencil.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/20px-Blue_pencil.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></span></td> </tr> </tbody></table><p class="mw-empty-elt"> </p><table><caption style="background-color:lightgrey;">Traitement</caption> <tbody><tr> <th scope="row"><a href="/wiki/Sp%C3%A9cialit%C3%A9_m%C3%A9dicale" title="Spécialité médicale">Spécialité</a></th> <td> <span class="wd_p1995"><a href="/wiki/Infectiologie" title="Infectiologie">Infectiologie</a> et <a href="/wiki/Stomatologie" title="Stomatologie">stomatologie</a><span class="noprint wikidata-linkback skin-invert"><span class="mw-valign-baseline noviewer" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q539465?uselang=fr#P1995" title="Voir et modifier les données sur Wikidata"><img alt="Voir et modifier les données sur Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/10px-Blue_pencil.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/15px-Blue_pencil.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/73/Blue_pencil.svg/20px-Blue_pencil.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></span></td> </tr> </tbody></table> <table><caption style="background-color:lightgrey;">Classification et ressources externes</caption> <tbody><tr> <th scope="row"><a href="/wiki/Classification_internationale_des_maladies" title="Classification internationale des maladies">CIM</a>-<a href="/wiki/Liste_de_codes_CIM-10" title="Liste de codes CIM-10">10</a></th> <td> <a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2008/fr#/A69.1">A69.1</a></td> </tr> <tr> <th scope="row"><a href="/wiki/Classification_internationale_des_maladies" title="Classification internationale des maladies">CIM</a>-<a href="/wiki/Liste_de_codes_CIM-9" title="Liste de codes CIM-9">9</a></th> <td> <a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=101">101</a></td> </tr> <tr> <th scope="row">DiseasesDB</th> <td> <a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb13866.htm">13866</a></td> </tr> <tr> <th scope="row"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th> <td> <a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/medlineplus/ency/article/001044.htm">001044</a></td> </tr> <tr> <th scope="row"><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></th> <td> <a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D005892">D005892</a></td> </tr> </tbody></table> <p class="bloc" style="background-color:lightgrey; color:#FFFFFF;"><span typeof="mw:File"><a href="/wiki/Wikip%C3%A9dia:Mise_en_garde_m%C3%A9dicale" title="Wikipédia ne donne pas de conseils médicaux"><img alt="Wikipédia ne donne pas de conseils médicaux" src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/24px-Star_of_life_caution.svg.png" decoding="async" width="24" height="22" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/36px-Star_of_life_caution.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/48px-Star_of_life_caution.svg.png 2x" data-file-width="210" data-file-height="190" /></a></span> <a href="/wiki/Wikip%C3%A9dia:Mise_en_garde_m%C3%A9dicale" title="Wikipédia:Mise en garde médicale">Mise en garde médicale</a></p> <p class="navbar bordered noprint" style="border-color:lightgrey;"><span class="plainlinks"><a class="external text" href="https://fr.wikipedia.org/w/index.php?title=Angine_de_Vincent&veaction=edit&section=0">modifier</a> - <a class="external text" href="https://fr.wikipedia.org/w/index.php?title=Angine_de_Vincent&action=edit&section=0">modifier le code</a> - <a href="https://www.wikidata.org/wiki/Special:ItemByTitle/frwiki/Angine_de_Vincent" class="extiw" title="d:Special:ItemByTitle/frwiki/Angine de Vincent">voir Wikidata</a> <a href="/wiki/Aide:Infobox_Wikidata" title="Aide:Infobox Wikidata">(aide)</a></span> <span typeof="mw:File"><a href="/wiki/Mod%C3%A8le:Infobox_Maladie" title="Consultez la documentation du modèle"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/3/38/Info_Simple.svg/12px-Info_Simple.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/38/Info_Simple.svg/18px-Info_Simple.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/38/Info_Simple.svg/24px-Info_Simple.svg.png 2x" data-file-width="512" data-file-height="512" /></a></span></p></div> <p>L'<b>angine de Vincent</b> est une <a href="/wiki/Angine" title="Angine">angine</a> ulcéreuse ou ulcéronécrotique, due à l'association fusospirillaire (<i><a href="/wiki/Fusobacterium_necrophorum" class="mw-redirect" title="Fusobacterium necrophorum">Fusobacterium necrophorum</a></i> et <i><a href="/wiki/Treponema_vincentii" title="Treponema vincentii">Treponema vincentii</a></i>). </p><p>Elle a été décrite par le médecin français <a href="/wiki/Hyacinthe_Vincent" title="Hyacinthe Vincent">Hyacinthe Vincent</a> (1862 - 1950). </p><p>Elle sévissait dans les <a href="/wiki/Tranch%C3%A9es" class="mw-redirect" title="Tranchées">tranchées</a> durant la <a href="/wiki/Premi%C3%A8re_Guerre_mondiale" title="Première Guerre mondiale">Première Guerre mondiale</a>, avec aussi la maladie dite du <a href="/wiki/Pied_de_tranch%C3%A9e" title="Pied de tranchée">pied de tranchée</a>. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Tableau_clinique">Tableau clinique</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Angine_de_Vincent&veaction=edit&section=1" title="Modifier la section : Tableau clinique" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Angine_de_Vincent&action=edit&section=1" title="Modifier le code source de la section : Tableau clinique"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Elle est relativement rare même si c'est l'<a href="/wiki/Angine" title="Angine">angine</a> <a href="/wiki/Ulc%C3%A8re" title="Ulcère">ulcéreuse</a> la plus fréquente. (On a longtemps pensé qu'elle était associée à un état général médiocre et à une mauvaise hygiène buccodentaire, ce qui n'est plus le cas de nos jours, bien que cette croyance persiste dans l'imaginaire collectif.)<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite_crochet">[</span>1<span class="cite_crochet">]</span></a></sup> Les signes généraux sont souvent peu marqués, la <a href="/wiki/Fi%C3%A8vre" title="Fièvre">fièvre</a> est modérée. Il existe une <a href="/wiki/Odynophagie" title="Odynophagie">odynophagie</a> unilatérale initiale, puis apparait une haleine fétide<sup id="cite_ref-cours_collège_2-0" class="reference"><a href="#cite_note-cours_collège-2"><span class="cite_crochet">[</span>2<span class="cite_crochet">]</span></a></sup>. </p><p>L'examen de l'<a href="/wiki/Pharynx" title="Pharynx">oropharynx</a> montre une ulcération unilatérale atone à bords irréguliers et surélevés, recouverte par un enduit blanc grisâtre, friable. Présence d'adénopathies discrètes dans le territoire de drainage<sup id="cite_ref-cours_collège_2-1" class="reference"><a href="#cite_note-cours_collège-2"><span class="cite_crochet">[</span>2<span class="cite_crochet">]</span></a></sup>. </p><p>Il existe souvent un point de départ infectieux buccodentaire comme une <a href="/wiki/Gingivite" title="Gingivite">gingivite</a>, des <a href="/wiki/Carie_dentaire" title="Carie dentaire">caries</a>, une <a href="/wiki/P%C3%A9ricoronarite" title="Péricoronarite">péricoronarite</a> d'une <a href="/wiki/Dent_de_sagesse" title="Dent de sagesse">dent de sagesse</a> inférieure<sup id="cite_ref-cours_collège_2-2" class="reference"><a href="#cite_note-cours_collège-2"><span class="cite_crochet">[</span>2<span class="cite_crochet">]</span></a></sup>. </p><p>Le diagnostic se fait par examen bactériologique des prélèvements de gorge : l'examen microscopique après <a href="/wiki/Coloration_de_Gram" title="Coloration de Gram">coloration de Gram</a> retrouve une association fusospirillaire. À la prise de sang la numération-formule sanguine est normale<sup id="cite_ref-cours_collège_2-3" class="reference"><a href="#cite_note-cours_collège-2"><span class="cite_crochet">[</span>2<span class="cite_crochet">]</span></a></sup>. </p> <div class="mw-heading mw-heading2"><h2 id="Physiopathologie">Physiopathologie</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Angine_de_Vincent&veaction=edit&section=2" title="Modifier la section : Physiopathologie" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Angine_de_Vincent&action=edit&section=2" title="Modifier le code source de la section : Physiopathologie"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Les <a href="/wiki/Spiroch%C3%A8te" class="mw-redirect" title="Spirochète">spirochètes</a> commensaux de la <a href="/wiki/Bouche_humaine" title="Bouche humaine">bouche</a> (Borrelias et/ou tréponèmes) peuvent, en association avec les bacilles <a href="/wiki/Fusiforme" class="mw-disambig" title="Fusiforme">fusiformes</a> (bactéries <a href="/wiki/Gram_n%C3%A9gatif" title="Gram négatif">Gram négatives</a> <a href="/wiki/Ana%C3%A9robie" title="Anaérobie">anaérobies</a> du genre <a href="/wiki/Bacteroides" title="Bacteroides">Bacteroides</a>), pulluler anormalement et provoquer des <a href="/wiki/Stomatite" title="Stomatite">stomatites</a>, <a href="/wiki/Gingivite" title="Gingivite">gingivites</a> ou <a href="/wiki/Angine" title="Angine">angines</a> nécrotiques. </p><p>Ces infections sont favorisées par la <a href="/wiki/Malnutrition" title="Malnutrition">malnutrition</a>, l'<a href="/wiki/Agranulocytose" title="Agranulocytose">agranulocytose</a>, les <a href="/wiki/Leuc%C3%A9mie" title="Leucémie">leucémies</a>, la <a href="/wiki/Mononucl%C3%A9ose_infectieuse" title="Mononucléose infectieuse">mononucléose infectieuse</a> ou l'<a href="/wiki/Herp%C3%A8s" title="Herpès">herpès</a>. Cette association se rencontre aussi dans la flore mixte des cavités bronchectasiques ou des abcès pulmonaires. Le diagnostic est microscopique. Ce microbiote est sensible à la majorité des <a href="/wiki/Antibiotique" title="Antibiotique">antibiotiques</a>. </p> <div class="mw-heading mw-heading2"><h2 id="Diagnostic_différentiel"><span id="Diagnostic_diff.C3.A9rentiel"></span>Diagnostic différentiel</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Angine_de_Vincent&veaction=edit&section=3" title="Modifier la section : Diagnostic différentiel" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Angine_de_Vincent&action=edit&section=3" title="Modifier le code source de la section : Diagnostic différentiel"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><b>Angine ulcéronécrotique de la syphilis</b> avec comme différences principales un chancre syphilitique amygdalien unilatéral superficiel sans bord surélevé, indolore et <a href="/wiki/Induration_(biologie)" title="Induration (biologie)">induré</a>, une grosse <a href="/wiki/Ad%C3%A9nopathie" title="Adénopathie">adénopathie</a>, un prélèvement de gorge qui retrouve un <i><a href="/wiki/Treponema_pallidum" title="Treponema pallidum">Treponema pallidum</a></i>.</li></ul> <div class="mw-heading mw-heading2"><h2 id="Traitement">Traitement</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Angine_de_Vincent&veaction=edit&section=4" title="Modifier la section : Traitement" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Angine_de_Vincent&action=edit&section=4" title="Modifier le code source de la section : Traitement"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Le traitement repose sur une <a href="/wiki/Antibioth%C3%A9rapie" title="Antibiothérapie">antibiothérapie</a> par <a href="/wiki/Augmentin" class="mw-redirect" title="Augmentin">augmentin</a> en première intention (ou par <a href="/wiki/Macrolide" title="Macrolide">macrolide</a> si <a href="/wiki/Allergie" title="Allergie">allergie</a>) sur une durée de 10 jours. </p> <div class="mw-heading mw-heading2"><h2 id="Notes_et_références"><span id="Notes_et_r.C3.A9f.C3.A9rences"></span>Notes et références</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Angine_de_Vincent&veaction=edit&section=5" title="Modifier la section : Notes et références" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Angine_de_Vincent&action=edit&section=5" title="Modifier le code source de la section : Notes et références"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><a href="#cite_ref-1">↑</a> </span><span class="reference-text"><span class="ouvrage" id="Constantini2022"><span class="ouvrage" id="Jean-Michel_Constantini2022">Jean-Michel Constantini, <cite class="italique">Manuel de médecine interne</cite>, Elsevier, <time>2022</time><span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Manuel+de+m%C3%A9decine+interne&rft.pub=Elsevier&rft.aulast=Constantini&rft.aufirst=Jean-Michel&rft.date=2022&rfr_id=info%3Asid%2Ffr.wikipedia.org%3AAngine+de+Vincent"></span></span></span></span> </li> <li id="cite_note-cours_collège-2"><span class="mw-cite-backlink noprint">↑ <sup><a href="#cite_ref-cours_collège_2-0">a</a> <a href="#cite_ref-cours_collège_2-1">b</a> <a href="#cite_ref-cours_collège_2-2">c</a> et <a href="#cite_ref-cours_collège_2-3">d</a></sup> </span><span class="reference-text"><a rel="nofollow" class="external text" href="http://www.orlfrance.org/college/DCEMitems/DCEMECNitems77.html">Item 77. Angine et pharyngite de l'enfant et de l'adulte.</a> Cours en ligne, Collège Français d'ORL et CCF - 2009.</span> </li> </ol></div> <table class="navbox collapsible noprint autocollapse" style=""> <tbody><tr><th class="navbox-title" colspan="2" style=""><div style="float:left; width:6em; text-align:left"><div class="noprint plainlinks nowrap tnavbar" style="padding:0; font-size:xx-small; color:var(--color-emphasized, #000000);"><a href="/wiki/Mod%C3%A8le:Palette_Infections_bact%C3%A9riennes" title="Modèle:Palette Infections bactériennes"><abbr class="abbr" title="Voir ce modèle.">v</abbr></a> · <a class="external text" href="https://fr.wikipedia.org/w/index.php?title=Mod%C3%A8le:Palette_Infections_bact%C3%A9riennes&action=edit"><abbr class="abbr" title="Modifier ce modèle. Merci de prévisualiser avant de sauvegarder.">m</abbr></a></div></div><div style="font-size:110%">Maladies <a href="/wiki/Bact%C3%A9rie" title="Bactérie">bactériennes</a></div></th> </tr> <tr> <td class="navbox-list" style="" colspan="2"><div class="liste-horizontale"> <ul><li><i><a href="/w/index.php?title=Actinomyces_israelii&action=edit&redlink=1" class="new" title="Actinomyces israelii (page inexistante)">Actinomyces israelii</a> <a href="https://en.wikipedia.org/wiki/Actinomyces_israelii" class="extiw" title="en:Actinomyces israelii"><span class="indicateur-langue" title="Article en anglais : « Actinomyces israelii »">(en)</span></a></i> (<a href="/wiki/Actinomycose" title="Actinomycose">Actinomycose</a>)</li> <li><i><a href="/wiki/Bacillus_anthracis" title="Bacillus anthracis">Bacillus anthracis</a></i> (<a href="/wiki/Maladie_du_charbon" title="Maladie du charbon">Maladie du charbon</a>)</li> <li><i><a href="/wiki/Bacillus_cereus" title="Bacillus cereus">Bacillus cereus</a></i></li> <li><i><a href="/wiki/Bartonella" title="Bartonella">Bartonella</a></i> (<a href="/wiki/Bartonellose" class="mw-redirect" title="Bartonellose">Bartonellose</a>)</li> <li><i><a href="/wiki/Bartonella_quintana" title="Bartonella quintana">Bartonella quintana</a></i> (<a href="/wiki/Fi%C3%A8vre_des_tranch%C3%A9es" title="Fièvre des tranchées">Fièvre des tranchées</a>)</li> <li><i><a href="/wiki/Bordetella" title="Bordetella">Bordetella</a></i> (<a href="/wiki/Coqueluche" title="Coqueluche">Coqueluche</a>)</li> <li><i><a href="/wiki/Borrelia" title="Borrelia">Borrelia</a></i> (<a href="/wiki/Maladie_de_Lyme" title="Maladie de Lyme">Borréliose de Lyme</a>)</li> <li><i><a href="/wiki/Borrelia_recurrentis" title="Borrelia recurrentis">Borrelia recurrentis</a></i> (<a href="/wiki/Fi%C3%A8vre_r%C3%A9currente_mondiale" title="Fièvre récurrente mondiale">Fièvre récurrente mondiale</a>)</li> <li><i><a href="/wiki/Brucella" title="Brucella">Brucella</a></i> (<a href="/wiki/Brucellose" title="Brucellose">Brucellose</a>)</li> <li><i><a href="/wiki/Burkholderia_mallei" title="Burkholderia mallei">Burkholderia mallei</a></i> (<a href="/wiki/Morve" title="Morve">Morve</a>)</li> <li><i><a href="/wiki/Burkholderia_pseudomallei" title="Burkholderia pseudomallei">Burkholderia pseudomallei</a></i> (<a href="/wiki/M%C3%A9lio%C3%AFdose" title="Mélioïdose">Mélioïdose</a>)</li> <li><i><a href="/wiki/Chlamydia_psittaci" title="Chlamydia psittaci">Chlamydia psittaci</a></i> (<a href="/wiki/Ornithose" title="Ornithose">Psittacose</a>)</li> <li><i><a href="/wiki/Chlamydia_trachomatis" title="Chlamydia trachomatis">Chlamydia trachomatis</a></i> <ul><li><a href="/wiki/Chlamydiose" title="Chlamydiose">Chlamydiose urogénitale</a></li> <li><a href="/wiki/Lymphogranulome_v%C3%A9n%C3%A9rien" title="Lymphogranulome vénérien">Lymphogranulome vénérien</a></li> <li><a href="/wiki/Trachome" title="Trachome">Trachome</a></li></ul></li> <li><i><a href="/wiki/Chlamydophila_pneumoniae" class="mw-redirect" title="Chlamydophila pneumoniae">Chlamydophila pneumoniae</a></i></li> <li><i><a href="/wiki/Clostridium_botulinum" title="Clostridium botulinum">Clostridium botulinum</a></i> (<a href="/wiki/Botulisme" title="Botulisme">Botulisme</a>)</li> <li><i><a href="/wiki/Clostridioides_difficile" title="Clostridioides difficile">Clostridioides difficile</a></i> (<a href="/wiki/Colite_pseudomembraneuse" title="Colite pseudomembraneuse">Colite pseudomembraneuse</a>)</li> <li><i><a href="/wiki/Clostridium_perfringens" title="Clostridium perfringens">Clostridium perfringens</a></i> (<a href="/wiki/Gangr%C3%A8ne_gazeuse" title="Gangrène gazeuse">Gangrène gazeuse</a>)</li> <li><i><a href="/wiki/Clostridium_tetani" title="Clostridium tetani">Clostridium tetani</a></i> (<a href="/wiki/T%C3%A9tanos" title="Tétanos">Tétanos</a>)</li> <li><i><a href="/wiki/Corynebacterium" title="Corynebacterium">Corynebacterium</a></i> (<a href="/wiki/Dipht%C3%A9rie" title="Diphtérie">Diphtérie</a>)</li> <li><i><a href="/w/index.php?title=Corynebacterium_minutissimum&action=edit&redlink=1" class="new" title="Corynebacterium minutissimum (page inexistante)">Corynebacterium minutissimum</a> <a href="https://en.wikipedia.org/wiki/Corynebacterium_minutissimum" class="extiw" title="en:Corynebacterium minutissimum"><span class="indicateur-langue" title="Article en anglais : « Corynebacterium minutissimum »">(en)</span></a></i> (<a href="/wiki/%C3%89rythrasma" title="Érythrasma">Érythrasma</a>)</li> <li><i><a href="/wiki/Coxiella_burnetii" title="Coxiella burnetii">Coxiella burnetii</a></i> (<a href="/wiki/Fi%C3%A8vre_Q" title="Fièvre Q">Coxiellose</a>)</li> <li><i><a href="/wiki/Escherichia_coli" title="Escherichia coli">Escherichia coli</a></i> (<a href="/wiki/Syndrome_h%C3%A9molytique_et_ur%C3%A9mique" title="Syndrome hémolytique et urémique">Syndrome hémolytique et urémique</a>)</li> <li><i><a href="/wiki/Francisella_tularensis" title="Francisella tularensis">Francisella tularensis</a></i> (<a href="/wiki/Tular%C3%A9mie" title="Tularémie">Tularémie</a>)</li> <li><i><a href="/wiki/Fusobacterium_necrophorum" class="mw-redirect" title="Fusobacterium necrophorum">Fusobacterium necrophorum</a></i> (<a class="mw-selflink selflink">Angine de Vincent</a>)</li> <li><i><a href="/wiki/Haemophilus_influenzae" title="Haemophilus influenzae">Haemophilus influenzae</a></i> (<a href="/wiki/Fi%C3%A8vre_purpurique_br%C3%A9silienne" title="Fièvre purpurique brésilienne">Fièvre purpurique brésilienne</a>)</li> <li><i><a href="/wiki/Klebsiella_pneumoniae" title="Klebsiella pneumoniae">Klebsiella pneumoniae</a></i></li> <li><i><a href="/wiki/Legionella_pneumophila" title="Legionella pneumophila">Legionella pneumophila</a></i> (<a href="/wiki/L%C3%A9gionellose" title="Légionellose">Légionellose</a>)</li> <li><i><a href="/wiki/Leptospira_interrogans" title="Leptospira interrogans">Leptospira interrogans</a></i> (<a href="/wiki/Leptospirose" title="Leptospirose">Leptospirose</a>)</li> <li><i><a href="/wiki/Listeria_monocytogenes" title="Listeria monocytogenes">Listeria monocytogenes</a></i> (<a href="/wiki/List%C3%A9riose" title="Listériose">Listériose</a>)</li> <li><i><a href="/wiki/Mycobacterium_leprae" title="Mycobacterium leprae">Mycobacterium leprae</a></i> (<a href="/wiki/L%C3%A8pre" title="Lèpre">Lèpre</a>)</li> <li><i><a href="/wiki/Mycobacterium_tuberculosis" title="Mycobacterium tuberculosis">Mycobacterium tuberculosis</a></i> (<a href="/wiki/Tuberculose" title="Tuberculose">Tuberculose</a>)</li> <li><i><a href="/wiki/Mycobacterium_ulcerans" title="Mycobacterium ulcerans">Mycobacterium ulcerans</a></i> (<a href="/wiki/Ulc%C3%A8re_de_Buruli" title="Ulcère de Buruli">Ulcère de Buruli</a>)</li> <li><i><a href="/wiki/Mycoplasma_pneumoniae" title="Mycoplasma pneumoniae">Mycoplasma pneumoniae</a></i></li> <li><i><a href="/wiki/Neisseria_gonorrhoeae" title="Neisseria gonorrhoeae">Neisseria gonorrhoeae</a></i> (<a href="/wiki/Gonorrh%C3%A9e" title="Gonorrhée">Gonorrhée</a>)</li> <li><i><a href="/wiki/Neisseria_meningitidis" title="Neisseria meningitidis">Neisseria meningitidis</a></i> (<a href="/wiki/M%C3%A9ningococcie" title="Méningococcie">Méningococcie</a>)</li> <li><i><a href="/wiki/Nocardia" title="Nocardia">Nocardia</a></i> (<a href="/wiki/Nocardiose" title="Nocardiose">Nocardiose</a>)</li> <li><i><a href="/wiki/Orientia_tsutsugamushi" title="Orientia tsutsugamushi">Orientia tsutsugamushi</a></i> (<a href="/wiki/Typhus_des_broussailles" title="Typhus des broussailles">Typhus des broussailles</a>)</li> <li><i><a href="/wiki/Pasteurella" title="Pasteurella">Pasteurella</a></i> (<a href="/wiki/Pasteurellose" title="Pasteurellose">Pasteurellose</a>)</li> <li><i><a href="/wiki/Prevotella_intermedia" title="Prevotella intermedia">Prevotella intermedia</a></i> (<a href="/wiki/Noma_(maladie)" title="Noma (maladie)">Noma</a>)</li> <li><i><a href="/wiki/Pseudomonas_aeruginosa" title="Pseudomonas aeruginosa">Pseudomonas aeruginosa</a></i></li> <li><i><a href="/w/index.php?title=Rickettsia_akari&action=edit&redlink=1" class="new" title="Rickettsia akari (page inexistante)">Rickettsia akari</a> <a href="https://en.wikipedia.org/wiki/Rickettsia_akari" class="extiw" title="en:Rickettsia akari"><span class="indicateur-langue" title="Article en anglais : « Rickettsia akari »">(en)</span></a></i> (<a href="/wiki/Rickettsiose_v%C3%A9siculeuse" title="Rickettsiose vésiculeuse">Rickettsiose vésiculeuse</a>)</li> <li><i><a href="/wiki/Rickettsia_conorii" title="Rickettsia conorii">Rickettsia conorii</a></i> (<a href="/wiki/Fi%C3%A8vre_boutonneuse_m%C3%A9diterran%C3%A9enne" title="Fièvre boutonneuse méditerranéenne">Fièvre boutonneuse méditerranéenne</a>)</li> <li><i><a href="/wiki/Rickettsia_prowazekii" title="Rickettsia prowazekii">Rickettsia prowazekii</a></i> (<a href="/wiki/Typhus_exanth%C3%A9matique" title="Typhus exanthématique">Typhus exanthématique</a>)</li> <li><i><a href="/wiki/Rickettsia_rickettsii" title="Rickettsia rickettsii">Rickettsia rickettsii</a></i> (<a href="/wiki/Fi%C3%A8vre_pourpr%C3%A9e_des_montagnes_Rocheuses" title="Fièvre pourprée des montagnes Rocheuses">Fièvre pourprée des montagnes Rocheuses</a>)</li> <li><i><a href="/wiki/Rickettsia_typhi" title="Rickettsia typhi">Rickettsia typhi</a></i> (<a href="/wiki/Typhus_murin" title="Typhus murin">Typhus murin</a>)</li> <li><i><a href="/wiki/Salmonella_enterica" title="Salmonella enterica">Salmonella enterica</a></i> (<a href="/wiki/Salmonellose" title="Salmonellose">Salmonellose</a>)</li> <li><i><a href="/wiki/Serratia_marcescens" title="Serratia marcescens">Serratia marcescens</a></i></li> <li><i><a href="/wiki/Shigella" class="mw-redirect" title="Shigella">Shigella</a></i> (<a href="/wiki/Shigellose" title="Shigellose">Shigellose</a>)</li> <li><i><a href="/w/index.php?title=Spirillum_minus&action=edit&redlink=1" class="new" title="Spirillum minus (page inexistante)">Spirillum minus</a> <a href="https://en.wikipedia.org/wiki/Spirillum_minus" class="extiw" title="en:Spirillum minus"><span class="indicateur-langue" title="Article en anglais : « Spirillum minus »">(en)</span></a></i> (<a href="/wiki/Sodoku_(maladie)" title="Sodoku (maladie)">Sodoku</a>)</li> <li><i><a href="/wiki/Staphylocoque_dor%C3%A9" title="Staphylocoque doré">Staphylococcus aureus</a></i></li> <li><i><a href="/wiki/Staphylococcus_epidermidis" title="Staphylococcus epidermidis">Staphylococcus epidermidis</a></i></li> <li><i><a href="/wiki/Streptococcus_pneumoniae" title="Streptococcus pneumoniae">Streptococcus pneumoniae</a></i></li> <li><i><a href="/wiki/Streptococcus_pyogenes" title="Streptococcus pyogenes">Streptococcus pyogenes</a></i> <ul><li><a href="/wiki/Angine" title="Angine">Angine</a></li> <li><a href="/wiki/Arthrite_septique" title="Arthrite septique">Arthrite septique</a></li> <li><a href="/wiki/Fasciite_n%C3%A9crosante" title="Fasciite nécrosante">Fasciite nécrosante</a></li> <li><a href="/wiki/Scarlatine" title="Scarlatine">Scarlatine</a></li></ul></li> <li><i><a href="/wiki/Treponema_pallidum" title="Treponema pallidum">Treponema pallidum</a></i> (<a href="/wiki/Syphilis" title="Syphilis">Syphilis</a>)</li> <li><i><a href="/wiki/Vibrio_cholerae" title="Vibrio cholerae">Vibrio cholerae</a></i> (<a href="/wiki/Chol%C3%A9ra" title="Choléra">Choléra</a>)</li> <li><i><a href="/wiki/Vibrio_vulnificus" title="Vibrio vulnificus">Vibrio vulnificus</a></i></li> <li><i><a href="/wiki/Yersinia_pestis" title="Yersinia pestis">Yersinia pestis</a></i> (<a href="/wiki/Peste" title="Peste">Peste</a>)</li></ul> </div></td> </tr> <tr> <td class="navbox-banner" style="" colspan="2"><a href="/wiki/Maladie_infectieuse" title="Maladie infectieuse">Maladies infectieuses</a></td></tr></tbody></table> <ul id="bandeau-portail" class="bandeau-portail"><li><span class="bandeau-portail-element"><span 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