ABSTRACT
Background: Cancrum oris is a rapid and devastating infectious disease of the orofacial region, which can be life threatening in its fulminant stage. Infection of bone (osteomyelitis) is a possible sequelae of Noma (cancrum oris) and is more likely due to late presentation especially in our environment. A literature search revealed scanty research describing osteomyelitis in Noma patients. Objective: To analyze the clinicopathology of osteomyelitis in Noma patients diagnosed and treated at Noma Children Hospital, Sokoto.Methods: The design was a 2-year retrospective study of records of Thirtytwo patients who had sequestrectomy secondary to osteomyelitis in Noma (Cancrum oris). Age, gender, jaws affected and side of involvement were analyzed Results: The age ranged from 211 years with mean ±standard deviation 5.47 ± 2.68 years was recorded. Osteomyelitis in Noma patients was found among 17 (53.10%) males compared to 15 (46.90%) females. In 20 (62. 50%) of the cases, anterior maxillary involvement was observed and the remaining 12 (37. 50%) was found at the mandibular posterior region and it is more common on the left side. Result of histopathology showed both acute and chronic inflammatory cells. Necrosis and bone hyperactivity was observed in most of the slides. Conclusion: Osteomyelitis is a common complication of Noma and its treatment is of paramount importance for adequate management of Noma patients.
Subject(s)
Humans , Male , Female , Osteomyelitis , Diagnosis , NomaABSTRACT
Les objectifs de cette etude etaient de decrire les aspects cliniques et therapeutiques chez 5 enfants atteints d'un noma revelateur d'une immunodepression par infection au VIH. Les malades ages entre 4 et 6 ans; ont ete recrutes entre fevrier 1999 et mai 2004. Le noma etait dans tous les cas localise au niveau de la region commisuro-jugale ou jugale. Les manifestations bucco-cervicales du VIH rencontrees etaient: la candidose et les adenopathies cervicales. Un traitement medical a base d'antibiotique (Ampiclline - 100mg/kg/jour en 3 prise par voie IV; Metronidazole 40 mg/kg/jour en 3 injections en intraveineuse par jour) combine a une chirurgie conservatrice a permis de limiter la destruction massive des tissus de la face et d'obtenir une cicatrisation des plaies par seconde intention. Tous les patients sont decedes d'infection opportuniste en l'absence de possibilite de traitement anti-retroviral et compte tenu du stade evolue du SIDA
Subject(s)
Case Reports , Noma , Noma/diagnosisABSTRACT
Background: Cancrum oculi; is a very rare type of noma. Very few cases have been reported worldwide.Aim: To report a case of cancrum oculi in a six- month-old HIV positive negroid female. Setting:University of Port Harcourt Teaching Hospital (UPTH); Port Harcourt; Nigeria. Case Report: A six-month-old HIV seropositive negroid female child was seen in UPTH with necrotizing chronic ulcer at the angle of the left eye. There was also an intense oral thrush initially managed by the paediatricians and later referred to the Ophthalmology department for management. Clinical examinations and various investigations suggested the diagnosis of cancrum oculi.Conclusion: Cancrum oculi; like other variants of noma complicate immuno-deficiency or can be a primary disease in immuno-competent patients with poor hygiene. It is a preventable disease
Subject(s)
Child , HIV Seropositivity , NomaABSTRACT
Introduction: Le noma est une affection peuconnue au Burkina Faso. Cette étude décrit les aspectsépidémiologiques et diagnostiques de 59 cas de nomaà Bobo-Dioulasso (Burkina Faso).Méthodologie C'est une étude rétrospective sur10 ans incluant tous les enfants de moins de 15 ans,hospitalisés pour noma.Résultats : L' incidence du noma est de sept cas/an. La tranche de 1-5 ans a été la plus touchée. Dans46 cas (78%), le noma est survenu sur un terrain demalnutrition, associé à une mauvaise hygiène bucco-dentaire dans 45 cas (76,3%). Le tableau clinique estcelui d'un noma évolutif dans 51 cas (51/59) et d'unnoma séquellaire dans huit cas (8/59).Discussion-conclusion : Notre incidence de 7 cas/an est plus élevée que dans certaines études. D'autrestravaux trouvent comme nous que la tranche de 1-5ans a été la plus touchée. Le noma survient sur unterrain malnutri (78%) et d'hygiène orale défec-tueuse. Il devrait être mieux connu pour un traite-ment préventif adapté
Subject(s)
Burkina Faso , Child , Noma/diagnosis , Noma/epidemiologyABSTRACT
Le noma; encore trop frequent dans les pays developpes; provoque des pertes de substance toujours difficile a corriger. Nous decrivons notre technique de reconstitution labiale par un lambeau d'avancement labial total
Subject(s)
Noma/rehabilitation , Surgical FlapsABSTRACT
Cancrum oris cases are occasionally treated in various hospitals in Kenya. Despite this; none of these cases have been have reported in literature. Besides; no epidemiological or treatment studies of cancrum oris have been carried out in Kenya. The authors report for the first time an unusual case of cancrum oris of a 2 year old Kenyan male which failed to respond to treatment after it was discovered at its early stages before involving the facial skeleton. Since most cancrum oris cases are a sequela of acute necrotizing gingivitis (ANG); prevention of cancrum oris can be achieved by early and prompt remedial measures once a diagnosis of ANG is established. Failure to do this might lead to cancrum oris with its attendant disfiguring complications; some of which might be impossible to treat in developing countries where the requisite personnel is lacking or inadequate
Subject(s)
NomaABSTRACT
Dans ce passage; il s'agit d'un travail de reflexion; le traitement et la prevention du noma ou cancrum oris maladie infantile. Les auteurs montrent l'importance d'une equipe pluridisciplinaire composee de stomatologue; medecin reanimateur; pediatre pedodontiste; orthodontiste; et d'un prothesiste maxillo-facial. S'agissant du traitment medical aux traitement des sequelles ou de la prevention du noma; ils mettent l'accent sur la prevention car le noma declare est dans la plupart des cas est une affection hautement lethale quelles que soient l'efficacite et la competence de cette equipe pluridisciplinaire