Noma: difficulties of diagnosis (clinical case)
D. Eremin,
A. Orazvaliev,
A. Martirosov,
E. Pakhomova,
I. Nikolskaya,
E. Mikhailiva,
S. Bugayan,
D. Shevnitsyn https://doi.org/10.33667/2078-5631-2022-34-37-43
Abstract
The paper describes two clinical cases of treatment of patients with noma. This disease is extremely rare in the Russian Federation, and therefore its diagnosis causes difficulties, and incorrect routing of patients, due to diagnostic mistakes, leads to an increase in the time before the start of specialized care. Rapid progression of wet gangrene, in the absence of timely diagnosis and qualified treatment, leads to extensive defects of the maxillofacial region, severe intoxication, sepsis. In the first case, after surgical treatment of noma, the patient developed an extensive tissue defect of the left half of the face, which in the future will require reconstructive surgical treatment. In the second case, after surgical treatment, the patient had an extensive tissue defect in the middle zone of the face, and systemic disorders against the background of intoxication led to the death of the patient on the 7th day after hospitalization. Both clinical cases confirm the role of immunosuppression in the etiology of noma.
About the Authors
D. Eremin
Eremin Dmitriy A., Ph.D., Associate Professor, Head of the Department of Maxillofacial surgery and Dentistry
Russian Federation
Russian Federation
A. Orazvaliev
ГБУЗ «Городская клиническая больница им. Ф.И. Иноземцева» ДЗМ
Russian Federation
Russian Federation
A. Martirosov
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ГБУЗ «Городская клиническая больница им. Ф.И. Иноземцева» ДЗМ
Russian Federation
Russian Federation
E. Pakhomova
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России
Russian Federation
Russian Federation
I. Nikolskaya
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России
Russian Federation
Russian Federation
E. Mikhailiva
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России
Russian Federation
Russian Federation
S. Bugayan
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России
Russian Federation
Russian Federation
D. Shevnitsyn
ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Eremin D., Orazvaliev A., Martirosov A., Pakhomova E., Nikolskaya I., Mikhailiva E., Bugayan S., Shevnitsyn D. Noma: difficulties of diagnosis (clinical case). Medical alphabet. 2022;(34):37-43. (In Russ.) https://doi.org/10.33667/2078-5631-2022-34-37-43
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