case_images: PMC11340849_01
case_images: Intraoral appearance showing ulceration in the right buccal mucosa
case_images: AMS-14-93-g001.jpg
case_images: PMC11340849_01_AMS-14-93-g001.jpg
case_images: ams.ams_201_23-f001
case_images: The lesion was rapidly progressive, with irregular borders, central necrosis and surrounding erythema [Figure 1].
case_images: Ocular appearance showing redness of conjunctiva and pustule in relation to the lower eyelid
case_images: AMS-14-93-g002.jpg
case_images: PMC11340849_01_AMS-14-93-g002.jpg
case_images: ams.ams_201_23-f002
case_images: On ocular examination, visual acuity was 20/20 in both eyes; however, redness of conjunctiva was present along with pustules in the lower eyelid of the right eye [Figure 2].
case_images: Immunohistochemistry showing markers pathognomonic of noma
case_images: AMS-14-93-g003.jpg
case_images: PMC11340849_01_AMS-14-93-g003.jpg
case_images: ams.ams_201_23-f003
case_images: Immunohistochemical markers were not in favour of SCC which confirmed the diagnosis of cancrum oris [Figure 3].
case_images: Follow-up showing healing of the lesion
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case_images: PMC11340849_01_AMS-14-93-g004.jpg
case_images: ams.ams_201_23-f004
case_images: On further follow-up after two weeks, the oral lesion showed a remarkable response to treatment with a decrease in inflammation and gradual re-epithelisation, which confirmed noma infection [Figure 4].