Article Text

Download PDFPDF
Malodour from oral malignant fungating wound: sprayed metronidazole – case report
  1. Haruka Harano1,2,
  2. Ryo Matsunuma2,
  3. Yukako Tanaka-Yagi2,
  4. Madoka Ito2,
  5. Junichi Tasaki2,
  6. Aki Egawa2 and
  7. Takashi Yamaguchi1
  1. 1 Palliative Care, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan
  2. 2 Palliative Care, Konan Medical Center, Kobe, Japan
  1. Correspondence to Dr Haruka Harano, palliative care, Kobe University Graduate School of Medicine School of Medicine, Kobe, 658-0064, Japan; hrw0925{at}


Metronidazole gel or ointment is recommended for the treatment of malodour from malignant fungating wounds. However, this medication may not settle adequately in oral lesions because its texture causes discomfort and it tends to be washed out by saliva. We report a case of malodour due to an oral lesion that was well controlled with sprayed metronidazole.

  • Head and neck
  • Symptoms and symptom management
  • Drug administration
  • Quality of life

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors TY had the idea for the article. HH and TY performed the literature search. HH and TY wrote the article. HH and TY are the guarantor. RM, YT-Y, MI, JT, AE and TY identified and managed the case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.