D, with septicemia and anemia becoming essentially the most frequent complications [1]. Noma (cancrum oris) is definitely an orofacial gangrene that, during its fulminating course, causes progressive and mutilating destruction of the infected tissues [5]. This devastating illness, with no proper treatment, includes a mortality rate of 70 to 90 , along with the survivors encounter the twofold affliction of orofacial mutilation and functional impairment, which demands a time-consuming, financially prohibitive surgical reconstruction [6]. Noma has been described as a probable complication of intraoral mutilation [2]. On the other hand, 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 frequent conventional practice.The history and findings pointed to the diagnosis of noma. The child was admitted to our hospital and started on intravenous ceftriaxone 400 mg once each day as well as rectal paracetamol for discomfort. A blood sample was also taken for a comprehensive blood count, which showed mild leukocytosis and an estimated hemoglobin level of 10 PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21301620 gdl. Radiology services were not offered at the hospital in the time, as well as the parents could not afford to have it completed outside the hospital. Surgical debridement was also carried out (Fig. 1). The necrotic tissue was removed to show the full extent of involvement (Fig. two). A nasogastric tube was inserted to aid feeding. The child was then referred to a specialist hospital for 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 having a dark lesion around the left cheek. This lesion had been present for 5 days prior to admission. It had began as a little red lesion around the left side of the upper gum and had speedily spread towards the inner cheek. The child had been subjected to a tooth bud extraction on that side from the gums by a standard herbalist 1 week prior to admission. The process had been carried out to remedy Ebiino, a diagnosis that was reached by the regular herbalist just after the parents reported that the child was experiencing cough and flu and that they had SB-366791 site spotted erupting tooth buds. Associated with this dark lesion was a high-grade intermittent fever and pain. The girl’s feeding was also described as tricky, owing to her discomfort, but manageable. The child will be the first born with the household and was up-todate with her growth milestones and immunizations. Her mother has never ever attended any formal education and is a small-scale subsistence farmer together together with the father in the kid. The loved ones hails from a village in Bushenyi district, that is situated in Western Uganda. A physical examination revealed that the kid was in fair general condition. She had options of malnutrition that included brown, sparse hair, and she weighed 7.3 kg, that is beneath the fifth percentile around the weightfor-age chart adopted from the National Centre for Overall health Statistics. This showed failure to thrive. The child also had moderate pallor of the mucous membranes and was afebrile using a temperature of 36.6 . Locally, she had a dark necrotic patch on the left cheek that involved the majority of the upper lip and nose and extended into the left upper gingival region. The lesion was commonly oval in shape and measured about eight cm 5 cm. It was tender to touch. The rest on the nearby examination was unremarkable.Discussion False teeth (Ebiino) refers to gingival swel.