Which of the following is not true regarding cancrum oris

Cancrum Oris Also known as Noma Disease or Gangrenous stomatitis) It is a gangrenous disease leading to tissue destruction of the face, especially the mouth and cheek Rapidly progressive, polymicrobial, oppounistic infection that occurs during periods of compromised immune function Main organisms implicated : Fusobacterium, prevotella and Borrelia vincentii Predisposing Factors Malnutrition or Dehydration Poor oral hygiene Poor sanitation Unsafe drinking water Recent illness Malignant Immunodeficiency disorder (AIDS) Clinical features Mainly affects children <12 years in the poorest countries of Africa Most children are between 2 and 6 years Mucous membranes of the mouth develop ulcers Rapid, painless tissue degeneration, can degrade tissues of the bones in the face Associated with high Morbidity and Moality Treatments Improvement in hygiene and nutrition Progression can be halted by antibiotics and improved nutrition Reconstructive plastic surgery to repair its permanent physical effects Ref: Sabiston 20th edition Pgno : 775