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[Noma and HIV infection: apropos of a case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)].
Odontostomatol Trop. 2001 Dec; 24(96):26-9.OT

Abstract

Noma (Cancrum oris) is a gangrenous stomatitis arising from a periodontal infection and leading to severe soft tissue and bone destruction. The pathology involves numerous factors including local thrombosis, vascularitis, necrotizing gingivitis, immunodeficiency, gram negative and anaerobic infection. It is usually a disease of infants and malnourished children in tropical areas often occurring after a debilitating disease like measles. Recently, cases have been reported in adults especially elderly patients or during immunodeficiency states. Reconstructive surgery is often necessary to deal with destruction and sequel but is rarely accessible in developing countries. We report one case of noma (cancrum oris) in an HIV seropositive patient at the National Hospital in Bobo-Dioulasso. The noma was inaugural of AIDS in a 40 years old labourer coming back from Ivory Coast and no major opportunistic infection was associated. The course was fulminant leading to extensive facial gangrene with recurrent bacterial infections. The disease was fatal in this depressive, malnourished and diarrhoeic patient despite local surgical treatment, prolonged antibiotherapy and supportive care. Pathogenic mechanisms, management and preventive issues are discussed.

Authors+Show Affiliations

Service des Maladies Infectieuses, CHNYO Ouagadougou.No affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

11887587

Citation

Ki-Zerbo, G A., and Y Guigma. "[Noma and HIV Infection: Apropos of a Case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)]." Odonto-stomatologie Tropicale = Tropical Dental Journal, vol. 24, no. 96, 2001, pp. 26-9.
Ki-Zerbo GA, Guigma Y. [Noma and HIV infection: apropos of a case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)]. Odontostomatol Trop. 2001;24(96):26-9.
Ki-Zerbo, G. A., & Guigma, Y. (2001). [Noma and HIV infection: apropos of a case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)]. Odonto-stomatologie Tropicale = Tropical Dental Journal, 24(96), 26-9.
Ki-Zerbo GA, Guigma Y. [Noma and HIV Infection: Apropos of a Case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)]. Odontostomatol Trop. 2001;24(96):26-9. PubMed PMID: 11887587.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Noma and HIV infection: apropos of a case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)]. AU - Ki-Zerbo,G A, AU - Guigma,Y, PY - 2002/3/13/pubmed PY - 2002/6/13/medline PY - 2002/3/13/entrez SP - 26 EP - 9 JF - Odonto-stomatologie tropicale = Tropical dental journal JO - Odontostomatol Trop VL - 24 IS - 96 N2 - Noma (Cancrum oris) is a gangrenous stomatitis arising from a periodontal infection and leading to severe soft tissue and bone destruction. The pathology involves numerous factors including local thrombosis, vascularitis, necrotizing gingivitis, immunodeficiency, gram negative and anaerobic infection. It is usually a disease of infants and malnourished children in tropical areas often occurring after a debilitating disease like measles. Recently, cases have been reported in adults especially elderly patients or during immunodeficiency states. Reconstructive surgery is often necessary to deal with destruction and sequel but is rarely accessible in developing countries. We report one case of noma (cancrum oris) in an HIV seropositive patient at the National Hospital in Bobo-Dioulasso. The noma was inaugural of AIDS in a 40 years old labourer coming back from Ivory Coast and no major opportunistic infection was associated. The course was fulminant leading to extensive facial gangrene with recurrent bacterial infections. The disease was fatal in this depressive, malnourished and diarrhoeic patient despite local surgical treatment, prolonged antibiotherapy and supportive care. Pathogenic mechanisms, management and preventive issues are discussed. SN - 0251-172X UR - https://www.unboundmedicine.com/medline/citation/11887587/[Noma_and_HIV_infection:_apropos_of_a_case_at_the_National_Hospital_Center_in_Bobo_Dioulasso__Burkina_Faso_]_ L2 - https://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -