Case Reports
December 1935


Author Affiliations

From the Kamakwie Mission Hospital, Kamakwie, Sierra Leone, West Africa.

Am J Dis Child. 1935;50(6):1495-1496. doi:10.1001/archpedi.1935.01970120147013

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Authorities agree that the mortality from gangrenous stomatitis (noma) is extremely high—90 per cent and above. The treatments suggested consist of application of fuming nitric acid, actual cautery or wide excision without any consideration of the future cosmetic effect. The following two cases are reported because in one case the result was remarkable after the application of undiluted solution of formaldehyde (British Pharmacopeia).

REPORT OF CASES  Case 1.—A native of Sierra Leone, a boy about 15 months old, was admitted to the hospital with swelling of the left cheek and a black circle several millimeters in diameter near the angle of the mouth. Examination of the inside of the mouth revealed a large foul-smelling ulcer filled with débris from tissue. Many of the teeth above and below on the left side were loose because the process had invaded the gums and periosteum. With the child under ether anesthesia the loose

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