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Case Reports
September 1941

SUCCESSFUL TREATMENT OF NOMA WITH SOLUTION OF FORMALDEHYDE: REPORT OF SIX ADDITIONAL CASES

Author Affiliations

KAMAKWIE, WEST AFRICA
From the Kamakwie Mission Hospital, Kamakwie, Sierra Leone, West Africa.

Am J Dis Child. 1941;62(3):590-595. doi:10.1001/archpedi.1941.02000150114014
Abstract

Since my first report1 on the use of solution of formaldehyde (British Pharmacopeia) in a case of noma, I have sought to test the usefulness of this preparation further by employing it in a series of cases. Since noma is a comparatively rare disease, no opportunity arose until this year. In the short period of seven months I had the unusual experience of treating 6 patients with the disease, all of them native children of Sierra Leone, West Africa. They came from widely separated towns.

REPORT OF CASES  Case 1.—The patient, a well nourished girl about 1½ years old, had a perforating ulcer 1½ inches (3.8 cm.) in diameter on her left cheek. The ulcer had a necrotic base and a foul stench and had been present for three days. During the first two days a physician had given mouth washes, to no avail.Treatment.—The ulcer was dried

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