{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T02:11:43Z","timestamp":1722564703491},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Noma, or <jats:italic>Cancrum oris<\/jats:italic>, is a severe and rapidly progressing gangrenous infection that primarily affects the face. It is most commonly observed in children living in impoverished conditions, especially in sub\u2010Saharan Africa. Rapid diagnosis and early management are crucial to prevent devastating consequences, such as functional limitations and serious psychological repercussions. Herein, we present a case of an 8\u2010month\u2010old child affected by noma, whose positive outcome is attributed to the prompt recognition by healthcare personnel. In our patient, the condition was likely related to malnutrition and the preceding extraction of a deciduous tooth reported by the mother and probably associated with a traditional Ugandan practice called <jats:italic>Ebiino<\/jats:italic>. This is the second case reported in Uganda, and given the limited healthcare access in most of the country, coupled with the high prevalence of poverty and other predisposing factors, it becomes evident that the incidence of noma is underestimated. Noma, as a neglected disease, requires greater awareness within communities and among healthcare professionals. A collective effort is needed to significantly reduce risk factors and promote prevention of this life\u2010threatening disease.<\/jats:p>","DOI":"10.1111\/tmi.14025","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T04:39:30Z","timestamp":1719808770000},"page":"752-755","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A noma case report: A warning message from Northern Uganda"],"prefix":"10.1111","volume":"29","author":[{"given":"Bianca Maria","family":"Longo","sequence":"first","affiliation":[{"name":"Unit of Infectious Diseases, Department of Medical Sciences University of Turin, at \u201cAmedeo di Savoia\u201d Hospital, ASL \u201cCitt\u00e0 di Torino\u201d  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Merli","sequence":"additional","affiliation":[{"name":"Dermatology Clinic, Department of Medical Sciences University of Turin  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonny","family":"Achana","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dr. Ambrosoli Memorial Hospital  Kalongo Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurice","family":"Okao","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dr. Ambrosoli Memorial Hospital  Kalongo Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Godfrey","family":"Smart Okot","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dr. Ambrosoli Memorial Hospital  Kalongo Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Ribero","sequence":"additional","affiliation":[{"name":"Dermatology Clinic, Department of Medical Sciences University of Turin  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Calcagno","sequence":"additional","affiliation":[{"name":"Unit of Infectious Diseases, Department of Medical Sciences University of Turin, at \u201cAmedeo di Savoia\u201d Hospital, ASL \u201cCitt\u00e0 di Torino\u201d  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgia","family":"Montrucchio","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences University of Turin  Turin Italy"},{"name":"Department of Anaesthesia, Critical Care and Emergency Citt\u00e0 Della Salute e Della Scienza Hospital  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Orlotti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dr. Ambrosoli Memorial Hospital  Kalongo Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/path.1700160118"},{"key":"e_1_2_6_3_1","unstructured":"World Health Organization Regional Office for Africa.Information brochure for early detection and management of noma.2017. [cited 2024 May 1]. Available from:https:\/\/apps.who.int\/iris\/handle\/10665\/254579"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0009844"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000055445.84307.3C"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27230"},{"key":"e_1_2_6_7_1","unstructured":"Study on Severe Malnutrition Childhood Diseases With Children Affected by Noma as an Example (A\/HRC\/AC\/8\/7) United Nations Human Rights Council Advisory Committee Eighth session.2012. [cited 2024 May 1]. Available from:https:\/\/www.ohchr.org\/EN\/HRBodies\/HRC\/AdvisoryCommittee\/Session8\/Pages\/Index.aspx"},{"key":"e_1_2_6_8_1","unstructured":"WHO. Noma.Fact sheets 15 December 2023[cited 2024 May 1]. Available from:https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noma"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221098110"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(21)00698-8"},{"key":"e_1_2_6_11_1","first-page":"1","volume-title":"World Health report life in the 21st century: a vision for all report of the director\u2010general. 51st World Health Assembly document","author":"World Health Organization, OMS","year":"1998"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.01.034"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000819"},{"key":"e_1_2_6_14_1","unstructured":"WHO.Standard case definitions. 2022. Noma: training of health workers at national and district levels on skin\u2010NTDs[cited 2022 July 31 ]. Available from:https:\/\/openwho.org\/courses\/NTDs-noma"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-017-1276-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.1330310313"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00082-0"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-020-01371-5"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.14025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T01:57:20Z","timestamp":1722563840000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.14025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,30]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/tmi.14025"],"URL":"https:\/\/doi.org\/10.1111\/tmi.14025","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"type":"print","value":"1360-2276"},{"type":"electronic","value":"1365-3156"}],"subject":[],"published":{"date-parts":[[2024,6,30]]},"assertion":[{"value":"2024-06-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}