Tag: Cancrum Oris

Cancrum Oris

Cancrum Oris

Q. 1

All are true about cancrum oris except – 

 A

Associated with malnutrition and vitamin deficiency

 B

Follows chronic infection

 C

Involves jaw

 D

Treatment is excision and skin grafting with tubed pedicle graft

Q. 1

All are true about cancrum oris except – 

 A

Associated with malnutrition and vitamin deficiency

 B

Follows chronic infection

 C

Involves jaw

 D

Treatment is excision and skin grafting with tubed pedicle graft

Ans. B

Explanation:

Answer is ‘b’ i.e. Follows chronic infection 

Cancrum oris (also k/a Noma and Gangrenous stomatitis)

  • Cancrum oris is now rarely seen in developed countries, but is still not uncommon in many developing countries.
  • It is a gangrenous process of the mouth, which starts suddenly, rapidly involve the adjacent tissues of the face, quickly becomes well demarcated, and then spreads no further. It most often affects one or both sides of the jaw, and occasionally the front of the face (mouth, lips, nose & chin). The gangrenous process may spread to destroy the bones of the face.
  • This disease occurs primarily in severely malnourished child less than 5 yrs of age. Often they have had a preceeding illness such as measels, malaria, scarlet fever, tuberculosis, malignancy or immunodeficiency, which has weakened the general health of the child.
  • The exact cause is not known, but may be bacterial. Fusiformis & Borrelia are largely responsible, but the ds. is not contigious.
  • Untreated cancrum oris is almost always quickly fatal, due to associated illness or a complication, such as septicemia or aspiration pneumonia.
  • Management involves

a)correction of general condition

b)antibiotics (Penicillin + Metronidazole)

c)Excision of the dead tissue

d)Plastic surgery

  • Coming to the question, the best choice is option ‘b’ i.e. follows chronic infection, as the ds. not always follows an infection. The infectious ds deteriorates the general health of the child who becomes susceptible to cancrum oris because of his poor health. [But, frankly I am not quite sure of the ans. Still other options are definitely true]

Q. 2

Cancrum oris – all are true except –

 A

Associated with malnutrition

 B

Inflammatory swelling

 C

Associated with vitamin deficiency

 D

None

Q. 2

Cancrum oris – all are true except –

 A

Associated with malnutrition

 B

Inflammatory swelling

 C

Associated with vitamin deficiency

 D

None

Ans. D

Explanation:

Ans. is ‘None’ 

Quiz In Between



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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