Death and Love by Edvard Munch
Noma, also known as cancrum oris or gangrenous stomatitis. Used to sometimes present itself after serious infections like scarlet fever, chicken pox, measles, or TB. More likely to occur if the patient is malnourished or immunodeficient, and was observed in the Nazi concentration camps (Josef Mengele is actually the one that found out a lot of what we know about the disease progression and mechanism). Still occurs in places like Cambodia, Ethiopia, and Nigeria, but is extremely rare in industrialized nations.
Usually found in kids 2-6 years old. Starts with a low fever and swelling in the cheek for one to two days, then suddenly progresses to the gangrenous phase. Gangrenous regions form from the oral cavity, extending to the lips, cheeks, and sometimes maxillary and mandibular bones. Progresses extremely quickly and tissue destruction in necrotic zones can result in the loss of the jaw and cheekbones. Most children die of septicemia during this phase.
Disease can be halted with IV antibiotics and improved nutrition, but full recovery can take up to a year. Without treatment, mortality approaches 100%. Even with treatment, mortality is around 60%, due to the rapid progression of the disease.
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