Is noma neonatorum a presentation of ecthyma gangrenosum in the newborn?
Noma neonatorum was suggested as a distinct entity characterized by a gangrenous process of the nose, oral cavity, eyelids and perineum that was almost universally fatal in premature infants with Pseudomonas sepsis. We report the first case of noma neonatorum in a 26-week-gestation twin born in the United States. Our case is consistent with previous descriptions of noma neonatorum; however, we question the distinction between noma neonatorum and a neonatal presentation of ecthyma gangrenosum.
Freeman
Alexandra F
AF
Pediatric Infectious Disease Division, Children's Memorial Hospital, Northwestern University Medical School, Chicago, IL, USA.
Mancini
Anthony J
AJ
Yogev
Ram
R
D003937:Diagnosis, Differential; D004473:Ecthyma / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D005734:Gangrene / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008046:Lip / Q000473:pathology; D009625:Noma / Q000175:diagnosis* / Q000473:pathology; D010502:Perineum / Q000473:pathology; D011552:Pseudomonas Infections / Q000150:complications*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification* / Q000472:pathogenicity; D018805:Sepsis / Q000150:complications / Q000473:pathology; D014427:Twins