Abstract
A 21-year-old man presented to the emergency department with a 6-hour history of vomiting, epigastric pain and diarrhea after uncooked seafood consumption. He had no documented medical history. Physical examination revealed normal vital signs and mild epigastric tenderness with hypoactive bowel sounds. The rest of the physical exam was unremarkable.
Highlights
We describe our experience with a 21-year-old man who presented with acute necrotizing ulcerative gingivitis with tongue ulcer
Laboratory tests of the blood confirmed a white-cell count of 21,300 per cubic millimeter. 3 days after admission, he suffered progressive pharyngalgia and pain of gingival surfaces associated with a soaring temperature and endless drooling of saliva
The patient received a diagnosis of acute necrotizing ulcerative gingivitis (ANUG) with tongue ulcer due to the severe inflammation spread widely from the throat to the soft palate associated with severe gingivitis of both upper and lower gingiva
Summary
We describe our experience with a 21-year-old man who presented with acute necrotizing ulcerative gingivitis with tongue ulcer. A 21-year-old man presented to the emergency department with a 6-hour history of vomiting, epigastric pain and diarrhea after uncooked seafood consumption. Physical examination revealed normal vital signs and mild epigastric tenderness with hypoactive bowel sounds. The rest of the physical exam was unremarkable.
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