Abstract
Noma, water crayfish, was first described in 1816 (Baron). This severe suffering affects most children between the ages of 2 and 4. Cases of illness in older age are rare. The etiology of the disease is unknown. Chernyakhovsky considers it to be a maranth necrosis, and Krasin as an anemic necrosis. Oppel says that noma is a traumatic injury to the mucous membrane with the addition of infectious blood clots. Lexer argues that noma begins on the basis of inflammatory changes in the mucous membrane of the mouth. Schmidt finds no reason to isolate noma as an independent form of the disease and considers it to be a simple gangrene of the oral cavity. As the causative agents of the disease, diphtheria sticks, Vincent's sticks, streptotrix, leptotrix, cladotrix and symbiosis of spirochetes with a fusiform bacillus are called.
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