Noma neonatorum

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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