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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Noma (Cancrum Oris): A Report of a Case in a Young AIDS Patient with a Review of the Pathogenesis
Head and Neck Pathology, Volume 7, No. 2, Year 2013
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Description
Noma (cancrum oris) is a mutilating necrotising disease of the orofacial tissues. It affects predominantly debilitated malnourished children, in whom the necrotic process may cause severe damage to mid-facial structures. Its aetiopathogenesis is uncertain, but its course is fulminating, and without timely intervention the disease may be fatal. Antibiotic treatment during any stage of necrotising stomatitis and of its sequel noma can stop progression of the disease; therefore detection and treatment of early intraoral necrotising lesions whether necrotising gingivitis, necrotising periodontitis or necrotising stomatitis are critical in preventing noma. We present an extreme case of noma in a malnourished HIV-seropositive child. There was an acute necrotic process affecting both the maxilla and the mandible with denudation of bone, spontaneous exfoliation of teeth, necrotising fasciitis and myonecrosis which destroyed the lips and cheeks and extended to the infra-orbital margins. There was severe disfigurement and severe impairment of function. Noma is primarily an anaerobic bacterial infection with secondary ischaemia leading to osteonecrosis and mid-facial destruction. © 2012 Springer Science+Business Media, LLC.
Authors & Co-Authors
Masipa, J. N.
South Africa, Sovenga
University of Limpopo
Baloyi, A. M.
South Africa, Sovenga
University of Limpopo
Khammissa, Razia Abdool Gafaar
South Africa, Sovenga
University of Limpopo
Altini, Mario
South Africa, Johannesburg
University of the Witwatersrand
Lemmer, Johan J.
South Africa, Sovenga
University of Limpopo
Feller, Liviu L.
South Africa, Sovenga
University of Limpopo
Statistics
Citations: 26
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1007/s12105-012-0393-0
ISSN:
1936055X
e-ISSN:
19360568
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial