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noma |
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noma /no·ma/ (no´mah) gangrenous processes of the mouth or genitalia. In the mouth (cancrum oris, gangrenous stomatitis), it begins as a small gingival ulcer and results in gangrenous necrosis of surrounding facial tissues; on the genitalia, the appearance is similar, affecting the penis in males and the labia majora, one after the other, in females.
noma [nō′mə] Etymology: Gk, nome, distribution an acute, necrotizing ulcerative process involving mucous membranes of the mouth or genitalia. The condition is most commonly seen in severely malnourished, debilitated persons, especially children with poor nutrition and hygiene. There is rapid spreading and painless destruction of bone and soft tissue accompanied by a putrid odor caused by oral anaerobic bacteria, especially Fusobacterium nucleatum. Treatment involves high-dose penicillin, debridement, and improved nutrition. Healing eventually occurs, but often with disfiguring defects. Also called gangrenous stomatitis. noma (nō´m n a progressive necrotizing process originating in the cheek with secondary involvement of the gingiva and jawbone. Occurs primarily in debilitated children, and the mortality rate is high. There is a strong, foul odor; marked surrounding edema; absence of a specific erythematous halo; marked changes in the white blood cell count; and a high temperature. See also necrosis, exanthematous and stomatitis, gangrenous. noma an idiopathic disorder similar to oral necrobacillosis; a rapidly spreading pseudomembranous to gangrenous stomatitis. noma Gangrenous stomatitis, cancrum oris ENT An acute necrotizing, polymicrobial infection of orofacial tissues seen in malnourished children, which rapidly erodes to deep tissue, exposing bone and teeth Microbiology Anaerobic
fusospirochetes–eg, Borrelia vincenti and Fusobacterium nucleatum, rarely, Bacteroides melaninogenicus and filiform gram-negative bacteria Treatment High dose IV penicillin; correct dehydration and malnutrition. See Herpes
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