An unusual case of noma caused by Klebsiella pnuemoniae and its management.

Abstract

Noma or cancrum oris is an orofacial gangrene causing progressive mutilating destruction of the infected tissues. It mainly affects malnourished children with poor oral hygiene and concurrent debilitating systemic illnesses. It is a polymicrobial infection and borrelia vincentii and fusobacterium are the most important pathogens known. We present a case of a boy aged 2.5 years with noma where klebsiella was grown and was the initial cause of failure of empiric therapy.

• Authors: Aastha Gupta, Kabir Sardana, Ram K Gautam
• Journal: Tropical doctor (Trop Doct) Vol. 48 Issue 3 Pg. 230-232 (Jul 2018) ISSN: 1758-1133 [Electronic] England
• PMID: 29368993 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Ceftriaxone

Topics

• Anti-Bacterial Agents (therapeutic use)
• Ceftriaxone (therapeutic use)
• Child Nutrition Disorders
• Child, Preschool
• Humans
• Infusions, Intravenous
• Klebsiella Infections (diagnosis, drug therapy, microbiology)
• Klebsiella pneumoniae (isolation & purification)
• Male
• Noma (diagnosis, drug therapy, microbiology)