Noma (bacterial infections of oral cavity)

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Noma (bacterial infections of oral cavity)

  1. 1. NOMA (Bacterial infections of the oral cavity)
  2. 2. CONTENTS a.SYNONYMS b.DEFINITION c. EPIDEMIOLOGY d.CAUSATIVE ORGANISMS e.PREDISPOSING FACTORS f. CLINICAL FEATURES g.TREATMENT AND PROGNOSIS h.REFERENCES
  3. 3. a. SYNONYMS – Cancrum oris , Gangrenous stomatitis. b. DEFINITION - NOMA means to devour ( a spreading sore ) is a rapidly spreading mutilating, gangrenous stomatitis that occurs usually in debilitated or nutritionally deficient persons
  4. 4. EPIDEMIOLOGY
  5. 5. AIDS related Noma prevalence is 4.3-16.0%
  6. 6. CAUSATIVE ORGANISMS
  7. 7. Other causative organisms 2 3 4
  8. 8. PREDISPOSING FACTORS- 1-NOMA is mainly secondary complication rather than primary disease . Example : Diptheria, dysentery, Measles, pneumonia, Scarlet fever , Syphilis, Tuberculosis, Blood dyscrasis, Anaemia etc. 2-Unsafe drinking water. 3-proximity to unkempt livestock.
  9. 9. CLINICAL FEATURES
  10. 10. Commencement of gangrene. Odor that from the gangrenous tissue is extremely foul.
  11. 11. Palate and tongue may become involved but is not common. Patient is with 1-increase temperature 2-suffer secondary infection. 3-may die from toxemia or pneumonia. NOMA PUDENDI-this condition also cause tissue damage to genitals.
  12. 12. NOMA Neonatorum
  13. 13. TREATMENT AND PROGNOSIS
  14. 14. 22 May 2008 - The FDI joined the International No NOMA Federation and the World Health Organization in organising the first ever World NOMA Day, which took place 22 May 2008 in Geneva , Switzerland, to raise awareness of this neglected and little-known devasting disease.
  15. 15. CONCLUSION This is the strategy WHO has put in place making the disease almost an history especially in previously endemic area.
  16. 16. THANK YOU
  17. 17. REFERENCES 1. SHAFER’S TEXTBOOK OF ORAL PATHOLOGY DrSHAFER,Dr Maynard HINE AND Dr Barnet Levy. 2. NEVILLE,ORAL AND MAXILLOFACIAL PATHOLOGY. 3. WWW.NONOMA.ORG 4. MANIPAL MANUAL OF SURGERY BY RAJGOPAL SHENOY K.

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