{"title":"Oris癌（Noma）：营养在管理中的作用","authors":"Elroy Patrick Weledji BSC, MSC, MBBCHBAO, FRCS (Edin), Sylvia Njong MD","doi":"10.1016/j.jccw.2016.08.003","DOIUrl":null,"url":null,"abstract":"<div><p><span>Cancrum oris<span> (noma) is caused by the spirochete </span></span><span><em>Borrelia</em><em> vincenti</em></span><span> in association with anaerobic bacteria, commonly a member of the fusobacteria<span>. The disease occurs in deprived and undernourished individuals with poor hygiene. We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2016.08.003","citationCount":"12","resultStr":"{\"title\":\"Cancrum Oris (Noma): The Role of Nutrition in Management\",\"authors\":\"Elroy Patrick Weledji BSC, MSC, MBBCHBAO, FRCS (Edin), Sylvia Njong MD\",\"doi\":\"10.1016/j.jccw.2016.08.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span>Cancrum oris<span> (noma) is caused by the spirochete </span></span><span><em>Borrelia</em><em> vincenti</em></span><span> in association with anaerobic bacteria, commonly a member of the fusobacteria<span>. The disease occurs in deprived and undernourished individuals with poor hygiene. We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important.</span></span></p></div>\",\"PeriodicalId\":90358,\"journal\":{\"name\":\"The journal of the American College of Clinical Wound Specialists\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.jccw.2016.08.003\",\"citationCount\":\"12\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The journal of the American College of Clinical Wound Specialists\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213510316300343\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The journal of the American College of Clinical Wound Specialists","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213510316300343","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Cancrum Oris (Noma): The Role of Nutrition in Management
Cancrum oris (noma) is caused by the spirochete Borrelia vincenti in association with anaerobic bacteria, commonly a member of the fusobacteria. The disease occurs in deprived and undernourished individuals with poor hygiene. We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important.
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