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

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

Abstract


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.


Keywords


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

Full Text:

PDF HTML XML

References


Flavahan PW, Cauchi P, Gregory ME, Foot B, Drummond SR. Incidence of periorbital necrotising fasciitis in the UK population: a BOSU study. British Journal of Opthalmology 2014;0:1–4.

Baratti-Mayer D, Pitte B, Montandon D, et al. Noma: an infectious disease of an unknown etiology. Lancet Infectious Diseases. 2003;3:419–31.

Srour ML, Marck K, Baratti-Mayer D. Noma: Overview of a neglected disease and human rights violation. The American Journal of Tropical Medicine and Hygiene 2017; 96(2):268-74.

Ashok N, Tarakji B, Darwish S, et al. A Review on Noma: A Recent Update. Global Journal of Health Science. 2016;8(4):53–9.

Ogbureke KU, Ogbureke EI. NOMA: a preventable “scourge” of African children. Open Dental Journal. 2010;4:201–6.

Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Critical Care Medicine 2004:32(7):1535-41.

Falkler WA Jr, Enwonwu CO, Idigbe EO. Microbiological understandings and mysteries of noma (cancrum oris). Oral Disease. 1999;5(2):150-5.

Chiandussi S, Luzzati R, Tirelli G, et al. Cancrum oris in developed countries. Aging Clinical and Experimental Research. 2009;21(6):475-7.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Indexed In Ebscohost Index Copernicus UlrichsWebOpenJGateGoogle Scholar DOAJ Gale Cengage Learning Research Gate
line
System Developed By Stanford University Arizona State University Simon Fraser University Canadian Centre For Studies In Publishing University of British Columbia - Faculty of Education
W3C XHTML v1.0 Verified W3C verified Valid CSS v2.1 PHP5 Enabled Made On Mac Apache Enabled MySQL Powered
Published by Celesta Software Pvt Ltd