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

Autor: Singh M; Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, 753007 Odisha India., Samal D; Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, 753007 Odisha India., Kar IB; Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, 753007 Odisha India.
Jazyk: angličtina
Zdroj: Journal of maxillofacial and oral surgery [J Maxillofac Oral Surg] 2024 Apr; Vol. 23 (2), pp. 320-327. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1007/s12663-023-02046-8
Abstrakt: 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.
Competing Interests: Conflict of interestThe authors declare that they have no conflicts of interest.
(© The Association of Oral and Maxillofacial Surgeons of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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