noma /nō″mə/ [Gk, nome, distribution] , an acute, necrotizing ulcerative process involving mucous membranes of the mouth or genitalia. The condition is most commonly seen in severely malnourished, debilitated persons, especially children with poor nutrition and hygiene. There is rapid spreading and painless destruction of bone and soft tissue accompanied by a putrid odor caused by oral anaerobic bacteria, especially Fusobacterium nucleatum. Treatment involves high-dose penicillin, debridement, and improved nutrition. Healing eventually occurs, but often with disfiguring defects. Also called gangrenous stomatitis.
