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  • Title: Noma in an unusual case of perforated appendicitis with pneumoperitoneum.
    Author: Katz E, Engelhard D, Kerem E, Eid A, Berlatzki Y.
    Journal: J Pediatr Surg; 1987 Nov; 22(11):1017-8. PubMed ID: 3430301.
    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.
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