We report here a 2.5-year-old male child with community-acquired
Pseudomonal sepsis
showing the characteristic lesions of ecthyma gangrenosum. The child had development of gangrenous changes of the nose and face - the ′cancrum oris′ or ′Noma′. We highlight the possible association of
Pseudomonas sepsis and Noma, with malnutrition playing a central role in causing both the diseases.