DIAGNOSIS

Readers may remember a girl we treated in the past who had necrosis of her nose  and necrotizing fasciitis of the face. We thought she had mucormycosis, so we treated her with antifungals as well as antibiotics. A recent article that I read read makes it clear that she had NOMA-also called cancrum oris- a necrotizing stomatitis that affects the face and is associated with aerobic organisms. Unfortunately, this girl died, despite our efforts. With more aggressive antibiotic treatment and debridement , she may have survived.