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Volume 22, Issue 11, Pages 1017-1018 (November 1987)


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Noma in an unusual case of perforated appendicitis with pneumoperitoneum

E Katz, D Engelhard, E Kerem, A Eid, Y Berlatzki

Abstract 

Noma is a very rare gangrenous infection of the oral cavity usually associated with debilitating diseases, immunosuppression, or malnutrition. Its development in a previously healthy 13-year-old boy with perforated appendicitis is presented. Streptococcus bovis type II and E coli were isolated from the noma and Streptococcus bovis, Bacteroides fragilis, and Bacteroides asacharolyticus from the peritoneal fluid. A transient impaired immune cellular function was found and may have contributed to the development of the noma in this child. (J Pediatr Surg 1987 Nov;22(11):1017-8)

Department of Pediatric Surgery, Hadassah University Hospital, Jerusalem, Israel

PII: S0022-3468(87)70061-X


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