Atypical Orofacial Necrosis of Unknown Aetiology: A Case Report with Features Similar to NOMA

Gabriele Baniulyte, Peter McAllister, Ahad Shafi, Mark Ansell, Ewen Thomson


An interesting case of atypical orofacial necrosis with no confirmed diagnosis was identified in Glasgow. A patient presenting to Accident & Emergency with septic shock and signs of end-organ dysfunction was noted to have a dark, well demarcated necrotic area of her cheek, chin, tongue, soft and hard palate. Severe malnutrition and alcohol dependence were recorded. Clinical and microbiological findings excluded a group A streptococcal necrotising fasciitis. An idiopathic oro-facial necrosis clinically similar to both Noma (cancrum oris) and necrotising fasciitis was identified in a case in Glasgow.


Cancrum Oris; Debilitated & Malnourished; Noma; Necrotising Fasciitis, Orofacial Necrosis; Stomatitis Gangrenous

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