00955nas a2200253 4500000000100000008004100001653001600042653001500058653000900073653001700082653000900099653001400108653001100122653002500133100001200158700001200170700001200182245003100194856007800225300000900303490000600312520036900318022001400687 2010 d10aYoung Adult10aPrevalence10aNoma10aMalnutrition10aMale10aIncidence10aHumans10aBacterial Infections1 aTonna J1 aLewin M1 aMensh B00aA case and review of noma. uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006140/pdf/pntd.0000869.pdf ae8690 v43 a

A young adult male villager in Madagascar developed painful, perioral swelling over a period of weeks. The stomatitis subsequently evolved into an anesthetic, rapidly expansive, necrotic ulcer with oral incontinence (Figure 1). A period of social instability during the preceding months likely caused malnutrition that resulted in significant weight loss.

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