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Journal of Maxillofacial and Oral Surgery

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15-11-2023 | Malnutrition | CLINICAL PAPER

Noma in an 18 months Toddler: A Rare Case Report with Review of Literature

Authors: Monika Singh, Dipti Samal, Indu Bhusan Kar

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2024

Abstract

Introduction

Noma is a polymicrobial necrotizing infection of the mouth and face which destroys the soft and hard tissues of the oral and paraoral structures. Malnutrition, poverty, lack of basic hygiene, and chronic disease state etc., possess a risk of developing noma. Noma neonatorum is a progressive gangrenous disease affecting the premature infants.

Aim

We present a rare case of noma in an 18 months toddler with a chronic debilitating condition predisposing to the disease progression.

Results

The necrotizing infection of the face developed after six months of multiple episodes of chronic blood-tinged diarrhea. The facial defect was managed with release of fibrosis and reconstruction with a superiorly based nasolabial flap.

Discussion

Noma reflects extreme malnutrition and poverty with a vast range of etiopathological agents. This case emphasizes the need to understand the host risk factors and etiopathologic agent predisposing to this rare opportunistic and dormant but devastating disease, the morbidities associated with it and measures to prevent it.

WHO Regional Office for Africa (2016) Noma is a severe disease it is treatable if detected and managed early!

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Title: Noma in an 18 months Toddler: A Rare Case Report with Review of Literature
Authors: Monika Singh
Dipti Samal
Indu Bhusan Kar
Publication date: 15-11-2023
Publisher: Springer India
Keyword: Malnutrition
Published in: Journal of Maxillofacial and Oral Surgery / Issue 2/2024
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-023-02046-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Noma in an 18 months Toddler: A Rare Case Report with Review of Literature

Abstract

Introduction

Aim

Results

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Aim

Results

Discussion

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