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Fusospirochetosis causing necrotic oral ulcers in patients with HIV infection.

Abstract

Under certain permissive circumstances, normally occurring fusiform bacteria and Borrelia spirochetes can result in a symbiotic overgrowth that leads to necrotic oral ulcers (stomatitis), gingivitis, and periodontitis. These lesions are collectively known as oral fusospirochetosis and may be under-appreciated in patients with HIV infection and AIDS. Fusospirochetal oral ulcers in patients with HIV are often large, necrotic, and malodorous; they respond completely to penicillin. We report 3 patients with HIV infection and fusospirochetal ulcerative stomatitis and review the clinical presentation, microbiologic diagnosis, potential pathogenesis, and treatment of these lesions.

Authors+Show Affiliations

Division of Infectious Diseases, Elmhurst Hopsital Center, NY, USA. csalama@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15356470

Citation

Salama, Carlos, et al. "Fusospirochetosis Causing Necrotic Oral Ulcers in Patients With HIV Infection." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, vol. 98, no. 3, 2004, pp. 321-3.
Salama C, Finch D, Bottone EJ. Fusospirochetosis causing necrotic oral ulcers in patients with HIV infection. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(3):321-3.
Salama, C., Finch, D., & Bottone, E. J. (2004). Fusospirochetosis causing necrotic oral ulcers in patients with HIV infection. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 98(3), 321-3.
Salama C, Finch D, Bottone EJ. Fusospirochetosis Causing Necrotic Oral Ulcers in Patients With HIV Infection. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(3):321-3. PubMed PMID: 15356470.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fusospirochetosis causing necrotic oral ulcers in patients with HIV infection. AU - Salama,Carlos, AU - Finch,Douglas, AU - Bottone,Edward J, PY - 2004/9/10/pubmed PY - 2004/11/13/medline PY - 2004/9/10/entrez SP - 321 EP - 3 JF - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod VL - 98 IS - 3 N2 - Under certain permissive circumstances, normally occurring fusiform bacteria and Borrelia spirochetes can result in a symbiotic overgrowth that leads to necrotic oral ulcers (stomatitis), gingivitis, and periodontitis. These lesions are collectively known as oral fusospirochetosis and may be under-appreciated in patients with HIV infection and AIDS. Fusospirochetal oral ulcers in patients with HIV are often large, necrotic, and malodorous; they respond completely to penicillin. We report 3 patients with HIV infection and fusospirochetal ulcerative stomatitis and review the clinical presentation, microbiologic diagnosis, potential pathogenesis, and treatment of these lesions. SN - 1079-2104 UR - https://www.unboundmedicine.com/medline/citation/15356470/Fusospirochetosis_causing_necrotic_oral_ulcers_in_patients_with_HIV_infection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1079210404002069 DB - PRIME DP - Unbound Medicine ER -