Cancrum Oris

CANCRUM ORIS


CANCRUM ORIS

  • Cancrum oris is an extensive severe ulcerative form of stomatitis affecting malnourished children.

Etiology-

  • Malnourised
  • Measles
  • Associated with vitamin deficiency
  • Major diseases as diphtheria, typhoid, Kala azar.
  • Causative organism is BorreliaVincentii starts Vincent’s stomatitis.

Clinical features-

  • Painful purple papule appears on alveolar margins of gingival
  • Tender & inflammation of cheeks & lips.
  • Foul smelling discharge
  • Jaw is involved.
  • Bone & teeth gets sequestrated
  • Child may develop septicaemia & die.

 Treatment-

  • IV Penicillin and Metranidazole
  • High proteins diet with nasogastric tube.
  • Pedicle flap for full thickness skin loss.

Exam Important

 Etiology-

  • Malnourised
  • Measles
  • Associated with vitamin deficiency
  • Major diseases as diphtheria, typhoid, Kala azar.
  • Causative organism is BorreliaVincentii starts Vincent’s stomatitis.

Clinical features-

  • Painful purple papule appears on alveolar margins of gingival
  • Tender & inflammation of cheeks & lips.
  • Foul smelling discharge
  • Jaw is involved.
  • Bone & teeth gets sequestrated
  • Child may develop septicaemia & die.

Treatment-

  • IV Penicillin and Metranidazole
  • High proteins diet with nasogastric tube.
  • Pedicle flap for full thickness skin loss.
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