D, with septicemia and anemia becoming probably the most frequent complications [1]. Noma (cancrum oris) is an orofacial gangrene that, throughout its fulminating course, causes progressive and mutilating destruction with the infected tissues [5]. This devastating disease, without the need of acceptable therapy, has a mortality price of 70 to 90 , as well as the survivors encounter the twofold affliction of orofacial mutilation and functional impairment, which needs a time-consuming, financially prohibitive surgical reconstruction [6]. Noma has been pointed out as a achievable complication of intraoral mutilation [2]. Nonetheless, case reports on noma as a complication of Ebiino are scant. We describe a case of a patient with noma as a complication of Ebiino, a common traditional practice.The history and findings pointed for the diagnosis of noma. The youngster was admitted to our hospital and started on intravenous ceftriaxone 400 mg when daily too as rectal Sodium polyoxotungstate Purity paracetamol for pain. A blood sample was also taken to get a full blood count, which showed mild leukocytosis and an estimated hemoglobin degree of 10 PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21301620 gdl. Radiology services weren’t offered in the hospital in the time, plus the parents couldn’t afford to possess it done outside the hospital. Surgical debridement was also completed (Fig. 1). The necrotic tissue was removed to show the complete extent of involvement (Fig. two). A nasogastric tube was inserted to aid feeding. The kid was then referred to a specialist hospital for much more rehabilitation and reconstructive surgery.Case presentation A 16-month-old girl from Ankole in Western Uganda was admitted for the surgical ward of Mbarara University Teaching Hospital in Western Uganda with a dark lesion around the left cheek. This lesion had been present for five days prior to admission. It had started as a small red lesion around the left side on the upper gum and had promptly spread towards the inner cheek. The youngster had been subjected to a tooth bud extraction on that side in the gums by a conventional herbalist 1 week prior to admission. The procedure had been completed to cure Ebiino, a diagnosis that was reached by the standard herbalist soon after the parents reported that the youngster was experiencing cough and flu and that they had spotted erupting tooth buds. Connected with this dark lesion was a high-grade intermittent fever and pain. The girl’s feeding was also described as hard, owing to her pain, but manageable. The youngster could be the very first born of your household and was up-todate with her development milestones and immunizations. Her mother has under no circumstances attended any formal education and is a small-scale subsistence farmer collectively with all the father in the child. The loved ones hails from a village in Bushenyi district, which is situated in Western Uganda. A physical examination revealed that the youngster was in fair general situation. She had functions of malnutrition that integrated brown, sparse hair, and she weighed 7.three kg, which can be under the fifth percentile around the weightfor-age chart adopted in the National Centre for Overall health Statistics. This showed failure to thrive. The child also had moderate pallor with the mucous membranes and was afebrile with a temperature of 36.6 . Locally, she had a dark necrotic patch on the left cheek that involved most of the upper lip and nose and extended in to the left upper gingival location. The lesion was usually oval in shape and measured about 8 cm 5 cm. It was tender to touch. The rest on the neighborhood examination was unremarkable.Discussion False teeth (Ebiino) refers to gingival swel.