PLAUT-VINCENT'S INFECTION OF THE VAGINA

Barker¹describes Vincent's angina as a form of necrotic angina in which the grayish white necroses with red margins are visible on the tonsils; the necrosis is followed by sloughing and ulcer formation. The general condition, he says, is not as a rule affected. It is believed to be due to a mixed infection (fusiform bacilli and spirochetes). This was written in 1916 and is as a sketch correct, provided the condition has not passed beyond the simple stage of ulceration and has been recognized. Often, however, when the infection is apparently benign, there may be a severe degree of constitutional reaction with a prostration as severe as that seen in the most serious infectious processes. Place²says: Vincent's angina is always characterized by ulceration, which is the sine qua non of diagnosis. The ulcer is so often filled with necrotic exudate as to simulate closely diphtheritic membrane,