Noma neonatorum
| Noma neonatorum | |
|---|---|
| Synonyms | Gangrenous stomatitis of the newborn |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Ulceration of the mouth, necrosis of oral tissues |
| Complications | Sepsis, death |
| Onset | Neonatal period |
| Duration | Variable, can be rapid |
| Types | N/A |
| Causes | Bacterial infection, often Fusobacterium necrophorum or Prevotella intermedia |
| Risks | Malnutrition, poor hygiene, immunodeficiency |
| Diagnosis | Clinical examination, microbiological culture |
| Differential diagnosis | Herpes simplex virus infection, oral thrush, aphthous stomatitis |
| Prevention | Improved hygiene, nutrition, vaccination |
| Treatment | Antibiotics, debridement, supportive care |
| Medication | N/A |
| Prognosis | Poor if untreated, better with early intervention |
| Frequency | Rare |
| Deaths | N/A |
Noma neonatorum is a severe form of impetigo that affects newborns and young infants. It is a rare condition, but when it does occur, it can be life-threatening. The disease is characterized by rapidly progressing, painful skin lesions that can lead to significant tissue damage and disfigurement.
Causes
Noma neonatorum is caused by a bacterial infection. The most common bacteria involved are Staphylococcus aureus and Streptococcus pyogenes. These bacteria can enter the body through a break in the skin, such as a cut or scrape, or through the umbilical cord in newborns.
Symptoms
The initial symptoms of noma neonatorum include red, swollen skin that may be warm to the touch. This is followed by the development of blisters that quickly rupture, leaving behind raw, painful sores. These sores can spread rapidly and cause extensive tissue damage.
Diagnosis
Diagnosis of noma neonatorum is based on the characteristic appearance of the skin lesions. Laboratory tests may be done to identify the bacteria causing the infection.
Treatment
Treatment for noma neonatorum involves antibiotics to fight the bacterial infection. In severe cases, surgery may be needed to remove dead tissue and repair damage.
Prevention
Prevention of noma neonatorum involves good hygiene practices, including regular hand washing and proper care of the umbilical cord in newborns.
See also
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Contributors: Prab R. Tumpati, MD