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.

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