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