All are true about Cancrum Oris except

Cancrum Oris (also k/a Noma and Gangrenous stomatitis) Cancrum Oris is now rarely seen in developed countries but is still not uncommon in many developing countries. It is a gangrenous process of the mouth, which stas suddenly, rapidly involve the adjacent tissues of the face, quickly becomes well demarcated, and then spreads no fuher. It most often affects one or both sides of the jaw, and occasionally the front of the face (mouth, lips, nose & chin). The gangrenous process may spread to destroy the bones of the face. This disease occurs primarily in a severely malnourished child less than 5 yrs of age. Often they have had a preceding illness such as measles, malaria, scarlet fever, tuberculosis, malignancy or immunodeficiency, which has weakened the general health of the child. The exact cause is not known but may be bacterial. Fusiformis & Borrelia are largely responsible, but the ds. is not contagious. Untreated Cancrum Oris is almost always quickly fat.: due to associated illness or a complication, such as a septicemia or aspiration pneumonia. Management involves correction of the general condition antibiotics (Penicillin + Metronidazole) Excision of the dead tissue Plastic surgery