Fusospirochetosis causing necrotic oral ulcers in patients with HIV infection

Carlos Salama, Douglas Finch, Edward J. Bottone

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish
Pages (from-to)321-323
Number of pages3
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume98
Issue number3
DOIs
StatePublished - Sep 2004

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