RESUMO
INTRODUCTION: Myiasis is a disease caused by the infestation of fly larvae in the skin, which complete part of their life cycle by feeding on host tissues. OBJECTIVE: To report a rare case of tongue myiasis in a patient admitted to a psychiatric ward, focusing on clinical management. CASE REPORT: A dependent care and mentally challenged 55 years old male patient was hospitalized in a psychiatric ward. After 42 days, during the intraoral examination, it was noted numerous larvae peeking from inside of a wound on the dorsum of the tongue. The clinical diagnosis of myiasis was rendered. For the treatment, manual removal was performed initially and ivermectin (15 mg), metamizole sodium (500 mg/ml), and chlorhexidine digluconate (0.12%) were prescribed. After one week, larvae were no longer observed, and the wound was completely healed. CONCLUSION: Myiasis occurrence is uncommon in the mouth, however, its correct diagnosis and treatment are necessary to avoid further damage to patients, especially those who are hospitalized.
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Miíase , Unidade Hospitalar de Psiquiatria , Humanos , Masculino , Pessoa de Meia-Idade , Miíase/terapia , Miíase/tratamento farmacológico , Boca , Ivermectina/uso terapêutico , LínguaRESUMO
Head and neck cancer patients represent a risk group for the development of fly larvae infestation in neoplastic wounds. This condition can accelerate the disease progression and increase its lethality due to local or systemic complications. The aim of this study was to conduct a scoping review on head and neck cancer associated with myiasis in order to answer the focal question: what are the occurrence, diagnosis, aetiology, treatment and outcomes of head and neck cancer associated with myiasis? This paper was structured based on the five-steps methodology proposed by Arksey and O'Malley (Int J Soc Res Methodol 2005;1:19-32), and followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR), OSF Registries protocol. The electronic search was performed in the MEDLINE/PubMed, Embase and SciELO.org databases for articles published up to 28 February 2021. In total, 38 articles and 56 patients were included. Most patients were male (66%), and the mean age was 66.63 years. Cases were predominantly associated with squamous or basal cell cancer. The most affected anatomical sites were the eyes, scalp, ears and oral cavity, and the most frequent type of larva was Crisomyia (13%). Manual removal of the larvae was considered the standard treatment, associated or not with antibiotics, analgesics and antiparasitic drugs.
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Neoplasias de Cabeça e Pescoço , Miíase , Neoplasias Cutâneas , Animais , Feminino , Humanos , Larva , Masculino , Miíase/diagnóstico , Miíase/parasitologia , Miíase/terapia , Fatores de RiscoRESUMO
BACKGROUND: Cutaneous myiasis in patients with malignant wounds or skin cancer is a rare and undesirable event with limited epidemiological data. A subregister of reports, lack of education in the population, inadequate empirical treatments, and medical underestimation are components of a public health problem that threatens patients' lives. METHODS: We conducted a systematic review of the literature of cutaneous myiasis associated with malignant wounds and skin cancer, characterizing sociodemographic variables, risk factors, clinical and histological features, and treatment. Additionally, we present a demonstrative case with the adequate taxonomic evaluation. DISCUSSION: Cutaneous myiasis is an underestimated and poorly managed infestation, which can generate severe complications in oncological patients. This is the first systematic review in the literature about this clinical scenario, which provides information to the physician and clinical researcher about the epidemiological gaps and what has been published so far. CONCLUSIONS: Findings from the current review have helped to display the sociodemographic, epidemiological, and clinical behavior of myiasis in skin cancer and malignant wounds. Its contribution to the greater tumor tissue destruction is clear; however, more studies are required. The therapeutic management in these patients is equally clarified.
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Miíase , Neoplasias Cutâneas , Humanos , Miíase/diagnóstico , Miíase/terapia , Fatores de Risco , Neoplasias Cutâneas/complicações , Neoplasias Cutâneas/terapiaRESUMO
Abstract Background: Myiasis is an emerging disease caused by tissue invasion of dipteran larvae. In Uruguay, Cochliomyia hominivorax and Dermatobia hominis are the most frequent species. This study aimed to describe the epidemiological and clinical characteristics and the follow-up of children < 15 years hospitalized for myiasis in a reference center in Uruguay between 2010 and 2019. Methods: We conducted a descriptive and retrospective study by reviewing medical records. We analyzed the following variables: age, sex, comorbidities, origin, the month at admission, clinical manifestations, other parasitoses, treatments, complications, and larva species identified. Results: We found 63 hospitalized children: median age of 7 years (1 month-14 years), 68% of females. We detected risk comorbidities for myiasis (33%), of which chronic malnutrition was the most frequent (n = 6); 84% were from the south of the country; 76% were hospitalized during the summer. Superficial and multiple cutaneous involvements were found in 86%: of the scalp 50, furunculoid type 51, secondary to C. hominivorax 98.4%, and to D. hominis in 1.6%. As treatments, larval extraction was detected in all of them, surgical in 22%. Asphyctic products for parasites were applied in 94%, ether in 49. Antimicrobials were prescribed in 95%; cephradine and ivermectin were the most frequent. About 51% presented infectious complications: impetigo was found in 29, cellulitis in 2, and abscess in 1. Conclusions: Myiasis predominantly affected healthy schoolchildren during the summer months and was frequently associated with ectoparasites. Superficial infestation of the furuncle-like scalp by C. hominivorax was the most frequent form. Infectious complications motivated hospitalizations.
Resumen Introducción: La miasis es una enfermedad emergente producida por la invasión tisular por larvas de dípteros. En Uruguay, Cochliomyia hominivorax y Dermatobia hominis son las especies más frecuentes. El objetivo de este estudio fue describir las características epidemiológicas y clínicas, y el seguimiento, de niños menores de 15 años hospitalizados por miasis en un centro de referencia del Uruguay entre 2010 y 2019. Métodos: Se llevó a cabo un estudio descriptivo y retrospectivo mediante la revisión de las historias clínicas. Se analizaron las siguientes variables: edad, sexo, comorbilidad, procedencia, mes al ingreso, cuadro clínico, otras parasitosis, tratamientos, complicaciones y especie de larva identificada. Resultados: Se encontraron 63 casos de niños hospitalizados, con una mediana de edad de 7 años (rango: 1 mes a 14 años) y el 68% de sexo femenino. Se identificó comorbilidad de riesgo para miasis (33%), siendo la desnutrición crónica la más frecuente (n = 6). El 84% eran procedentes del sur del país y el 76% fueron hospitalizados en los meses estivales. Se encontró afectación cutánea superficial y múltiple en el 86%: de cuero cabelludo en 50, de tipo forunculoide en 51, secundaria a C. hominivorax en el 98.4% y a D. hominis en el 1.6%. Se realizó extracción larvaria en todos los casos, que fue quirúrgica en el 22%. Se aplicaron productos asfícticos para parásitos en el 94%, con éter en 49 niños. Se prescribieron antimicrobianos en el 95%; los más usados fueron cefradina e ivermectina. El 51% presentaron complicaciones infecciosas: 29 impétigo, 2 celulitis y 1 absceso. Conclusiones: La miasis afectó predominantemente a escolares sanos y durante los meses estivales, y se encontró frecuentemente asociada con ectoparasitosis. La infestación superficial del cuero cabelludo de tipo forunculoide por C. hominivorax fue la forma más frecuente. Las complicaciones infecciosas motivaron las hospitalizaciones.
Assuntos
Humanos , Animais , Feminino , Criança , Miíase/terapia , Miíase/epidemiologia , Uruguai/epidemiologia , Ivermectina , Estudos Retrospectivos , LarvaRESUMO
BACKGROUND: Myiasis is an emerging disease caused by tissue invasion of dipteran larvae. In Uruguay, Cochliomyia hominivorax and Dermatobia hominis are the most frequent species. This study aimed to describe the epidemiological and clinical characteristics and the follow-up of children < 15 years hospitalized for myiasis in a reference center in Uruguay between 2010 and 2019. METHODS: We conducted a descriptive and retrospective study by reviewing medical records. We analyzed the following variables: age, sex, comorbidities, origin, the month at admission, clinical manifestations, other parasitoses, treatments, complications, and larva species identified. RESULTS: We found 63 hospitalized children: median age of 7 years (1 month-14 years), 68% of females. We detected risk comorbidities for myiasis (33%), of which chronic malnutrition was the most frequent (n = 6); 84% were from the south of the country; 76% were hospitalized during the summer. Superficial and multiple cutaneous involvements were found in 86%: of the scalp 50, furunculoid type 51, secondary to C. hominivorax 98.4%, and to D. hominis in 1.6%. As treatments, larval extraction was detected in all of them, surgical in 22%. Asphaltic products for parasites were applied in 94%, ether in 49. Antimicrobials were prescribed in 95%; cephradine and ivermectin were the most frequent. About 51% presented infectious complications, impetigo was found in 29, cellulitis in 2, and abscess in 1. CONCLUSIONS: Myiasis predominantly affected healthy schoolchildren during the summer months and was frequently associated with ectoparasites. Superficial infestation of the furuncle-like scalp by C. hominivorax was the most frequent form. Infectious complications motivated hospitalizations.
Assuntos
Miíase , Animais , Criança , Feminino , Humanos , Ivermectina , Larva , Miíase/epidemiologia , Miíase/terapia , Estudos Retrospectivos , Uruguai/epidemiologiaAssuntos
Humanos , Criança , Centros de Atenção Terciária , Miíase/diagnóstico , Miíase/terapia , Brasil/epidemiologiaAssuntos
Miíase , Brasil/epidemiologia , Criança , Humanos , Miíase/diagnóstico , Miíase/terapia , Centros de Atenção TerciáriaRESUMO
Myiasis is an infection caused by the deposition of fly larvae in tissues, and its involvement in the human oral cavity is uncommon. Herein, we have performed a data analysis of published cases of oral myiasis. A search was performed in PubMed, Ovid, Web of Science, Scopus, and LILACS. Geographic distribution, demographic data, associated factors, clinical features, fly types, treatment, and presence of sequelae were analyzed. A total of 122 articles reported the cases of 157 infected individuals. The most affected countries were India (41%) and Brazil (29.5%). Male predominance (67.5%) and a mean of 41.9 years of age were observed. The gingiva (29%) was the most affected site, followed by palate (25%) and lip (21%). There were different forms and combinations of treatments: manual removal of larvae and surgical debridement, application of asphyxiating substances, antibiotic therapy, and use of ivermectin. The condition predominantly affects individuals with neurological and/or locomotor disabilities, of low socioeconomic status, with poor oral hygiene and chemical dependence and individuals with previous injuries or with the absence of lip sealing. The establishment of a standard treatment protocol, enabling comparison in future studies and providing uniformity in treatment strategies offered by health services is strongly recommended.
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Miíase , Adulto , Brasil/epidemiologia , Humanos , Índia/epidemiologia , Ivermectina , Masculino , Boca , Miíase/terapiaRESUMO
Dermatobia hominis, also known as the human botfly, is native to tropical and subtropical Central and South America and seen in travelers from endemic to temperate regions including the United States and Europe. Cutaneous infestation botfly myiasis involves the development of D. hominis larvae in the skin and is common in tropical locations. The distinct appearance of a cutaneous D. hominis infestation facilitates early diagnosis and intervention where cases are common. However, the identification of D. hominis in temperate regions may prove challenging due to its rarity. D. hominis may be misdiagnosed as folliculitis, an epidermal cyst, or an embedded foreign object with secondary impetigo. One should have a heightened suspicion in someone returning from a vacation in an endemic area, such as Belize. Here we describe the presentation, differential diagnosis, and treatment and encourage enhanced preventative measures among tourists when visiting tropical and subtropical regions. Additionally, we propose a novel classification system for assessing the various stages of infestation and suggest that patients reporting travel to Latin America and experiencing pain disproportionate to an insect bite should lead physicians to consider myiasis caused by D. hominis.
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Dípteros/patogenicidade , Mordeduras e Picadas de Insetos/complicações , Miíase/diagnóstico , Pele/parasitologia , Doença Relacionada a Viagens , Animais , Antiparasitários/uso terapêutico , Belize/epidemiologia , Diagnóstico Diferencial , Doenças Endêmicas/prevenção & controle , Humanos , Mordeduras e Picadas de Insetos/diagnóstico , Mordeduras e Picadas de Insetos/parasitologia , Repelentes de Insetos/administração & dosagem , Ivermectina , Larva/patogenicidade , América Latina/epidemiologia , Miíase/epidemiologia , Miíase/parasitologia , Miíase/terapia , Roupa de Proteção , Estados UnidosRESUMO
Introducción: La miasis constituye un importante problema de salud pública. En el Ecuador se atribuye su causa con mayor frecuencia a Cochliomyia hominivorax. Objetivo: Describir las características clínicas y el tratamiento de los pacientes ingresados por miasis en el Hospital del Niño Dr. Francisco de Icaza Bustamante, Guayaquil, Ecuador. Métodos: Se realizó un análisis retrospectivo de la información clínica de 84 pacientes con diagnóstico de miasis, ingresados entre 2011 y 2018. Las variables analizadas fueron: sexo, edad, número de casos por mes y año, forma de presentación, sintomatología y tiempo de hospitalización, además de factores meteorológicos. La base de datos fue procesada con el software MS Excel 2013. Resultados: La mediana de edad fue de 6 años (5 meses-14 años); 27,4 por ciento correspondía al sexo masculino y 72,6 por ciento al femenino. Se encontró mayor número de ingresos en la temporada de verano, de julio a diciembre. Se registró miasis cutánea (79,8 por ciento), ótica (17,9 por ciento) y oral (2,3 por ciento). El tiempo de hospitalización general tuvo una mediana de 6 días (1-36 días). Conclusiones: Es necesario realizar actividades encaminadas a la prevención de la enfermedad en la comunidad y la elaboración de adecuados protocolos de manejo en las unidades de salud. El personal de salud debe registrar adecuadamente la información clínica para elaborar información estadística pertinente que lleve a fundamentar la implementación de adecuadas políticas de salud(AU)
Introduction: Myiasis is an important public health problem. In Ecuador its cause is mainly attributed to Cochliomyia hominivorax. Objective: Describe the clinical characteristics and the treatment of patients admitted for myiasis at Dr. Francisco de Icaza Bustamante Children's Hospital in Guayaquil, Ecuador. Methods: A retrospective analysis was conducted of the medical data of 84 patients diagnosed with myiasis admitted from 2011 to 2018. The variables analyzed were sex, age, number of cases per month and year, form of presentation, symptoms, hospital stay duration, and meteorological factors. The database was processed with the software MS Excel 2013. Results: Mean age was 6 years (5 months-14 years); 27.4 percent were male and 72.6 percent were female. The largest number of admissions occurred in the summer season, from July to December. Records were found of cutaneous (79.8 percent), aural (17.9 percent) and oral (2.3 percent) myiasis. Mean hospital stay duration was 6 days (1-36 days). Conclusions: It is necessary to perform activities aimed at preventing the disease in the community as well as develop appropriate management protocols in health facilities. Health care providers should adequately record the clinical data required to develop relevant statistical information leading to the implementation of effective health policies(AU)
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Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Miíase/diagnóstico , Miíase/prevenção & controle , Miíase/terapia , Estudos Retrospectivos , EquadorAssuntos
Miíase/diagnóstico , Miíase/parasitologia , Couro Cabeludo/patologia , Doença Relacionada a Viagens , Viagem , África Oriental , Animais , Austrália , Pré-Escolar , Dípteros , Exantema , Furunculose , Humanos , Larva , Masculino , Miíase/terapia , Infecções Estafilocócicas/complicações , Infecções Estafilocócicas/tratamento farmacológico , Staphylococcus aureusRESUMO
Abstract Introduction Myiasis is a disease causedby fly larvae that growinthetissues of animals and humans. It can cause a variety of local symptoms, like erythema or pain, depending on its location, and generalized symptomatology, such as fever andmalaise.Myiasis can generate severe complications, for instance sepsis, or directly impact vital tissues. Its management varies depending on the location, and on the preferences of the doctor that faces this challenge. Myiasis usually occurs in tropical countries, and, in many places, it is not a rare condition. The cases are rarely reported, and there are no publishedmanagement protocols. Objective To review the literature regarding the most common agents, the predisposing factors and the treatment alternatives for otic myiasis, a rare form of human myiasis caused by the infestation of fly larvae in the ear cavities. Data synthesis We present a systematic review of the literature. The search in five databases (Medline, Embase, Cochrane Database of Systematic Reviews, LILACS and RedALyC) led to 63 published cases from 24 countries, in the 5 continents. The ages of the patients ranged fromnewborn to 65 years old. Themost common agents belong to the Sarcophagidae or Calliphoridae families. Chronic otitis media, previous otic surgical procedures, mental deficit, alcohol or drug abuse, sleeping outdoors, prostration, and malnutrition were predisposing factors. The treatment alternatives are herein discussed. Conclusion The results highlight the need for monitoring, follow-up and standardization of medical approaches. (AU)
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Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Otopatias/etiologia , Miíase/etiologia , Doenças Parasitárias , Fatores de Risco , Dípteros , Otopatias/terapia , Sarcofagídeos , Miíase/terapiaRESUMO
Tropical regions receive a significant part of the traveling population. It is very important that health professionals are familiar with the main tropical skin diseases and able to advice patients appropriately. This article reviews the main tropical diseases of travelers, with an emphasis on diagnosis, management, and prevention. Among others, cutaneous larva migrans, myiasis, tungiasis, Chagas disease, Dengue fever, African trypanosomiasis, filariasis, and leishmaniasis are discussed. Increasing awareness among travelers and health care professionals can help reduce morbidity and mortality. Continued research on new drugs and vaccines is needed to reduce the risks of tropical diseases.
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Dermatopatias/terapia , Viagem , Doença de Chagas/diagnóstico , Doença de Chagas/prevenção & controle , Doença de Chagas/terapia , Exantema/diagnóstico , Exantema/prevenção & controle , Exantema/terapia , Humanos , Larva Migrans/diagnóstico , Larva Migrans/prevenção & controle , Larva Migrans/terapia , Leishmaniose/diagnóstico , Leishmaniose/prevenção & controle , Leishmaniose/terapia , Miíase/diagnóstico , Miíase/prevenção & controle , Miíase/terapia , Escabiose/diagnóstico , Escabiose/prevenção & controle , Escabiose/terapia , Dermatopatias/diagnóstico , Dermatopatias/prevenção & controle , Tripanossomíase Africana/diagnóstico , Tripanossomíase Africana/prevenção & controle , Tripanossomíase Africana/terapia , Tungíase/diagnóstico , Tungíase/prevenção & controle , Tungíase/terapia , Febre Amarela/diagnóstico , Febre Amarela/prevenção & controle , Febre Amarela/terapiaRESUMO
We present the case of a young male patient who presented with pain, redness and foreign body sensation in his left eye. There was no associated decrease in vision. Three live larvae were removed from his left conjunctival sac and sent to the laboratory for identification. The patient was treated symptomatically and his symptoms were mostly resolved by the following day. The larvae were later identified as the first instar of the sheep nasal botfly. Poor sanitation and exposure to livestock were among the identified risk factors in this case. Physicians must have this as a differential diagnosis for conjunctivitis in patients with risk factors. This is the first reported case of ophthalmomyiasis from Jamaica.
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Conjuntivite/diagnóstico , Dípteros/fisiologia , Infecções Oculares Parasitárias/diagnóstico , Miíase/diagnóstico , Adolescente , Animais , Conjuntivite/parasitologia , Diagnóstico Diferencial , Infecções Oculares Parasitárias/parasitologia , Infecções Oculares Parasitárias/terapia , Humanos , Jamaica , Larva/citologia , Masculino , Miíase/parasitologia , Miíase/terapia , Fatores de Risco , Resultado do TratamentoRESUMO
AIMS: Myiasis is a disease caused by the invasion of tissues by larvae of flies. The aim of this study was to carry out a review of reported cases of oral and maxillofacial myiasis in older adults and to show a case report of oral myiasis in a 95-year-old frail man with severe Alzheimer's disease from Brazil. METHODS AND RESULTS: Between 1988 and 2017, 35 oral and maxillofacial myiasis cases were reported in older adults in English-language studies from PubMed and Lilacs databases. CONCLUSIONS: Oral and maxillofacial myiasis in older adults showed low incidence and good prognosis of cure, when there were no systemic complications. Weakness, frailty, dementia, oral lesions, labial incompetence, poor oral hygiene, and bad breath were associated with this disease in reported cases. Preferential therapy choices were debridement alone or combined with Ivermectin. In this case report, debridement and Ivermectin prescription was an effective therapy for an older adult with severe Alzheimer's disease.
Assuntos
Doença de Alzheimer/complicações , Antiparasitários/uso terapêutico , Ivermectina/uso terapêutico , Doenças da Boca/diagnóstico , Doenças da Boca/parasitologia , Doenças da Boca/terapia , Miíase/diagnóstico , Miíase/terapia , Idoso de 80 Anos ou mais , Animais , Antibacterianos/uso terapêutico , Brasil , Desbridamento , Humanos , MasculinoRESUMO
OBJECTIVE: This study describes 9 cases of myiasis affecting the head and neck region and discusses the demographic distribution, treatment, clinical characteristics, and sequelae of the disease in light of the literature. STUDY DESIGN: The study was performed in 2 steps. In the first part, 9 cases seen over a period of 10 years at the Emergency Department of Hospital da Restauração in Brazil were studied. In the second part, a literature search was performed in PubMed for articles on head and neck myiasis published from 1975 to March 2017. RESULTS: The case series mainly consisted of male patients in their 30s. The palate was the most commonly affected site. Myiasis was caused by Cochliomyia hominivorax in all patients, who were treated by mechanical removal of the larvae and debridement of necrotic tissue, followed by oral ivermectin. All patients had sequelae resulting from bone destruction. CONCLUSIONS: Head and neck myiasis generally affects individuals with poor hygiene habits, drug users, and individuals with neurologic and psychosocial disorders. The treatment of choice is mechanical removal of larvae and surgical debridement combined with oral ivermectin. This study provides information that could help clinicians in the diagnosis and management of this condition.
Assuntos
Cabeça/parasitologia , Miíase/epidemiologia , Miíase/parasitologia , Miíase/terapia , Pescoço/parasitologia , Administração Oral , Adulto , Idoso , Animais , Antiparasitários/administração & dosagem , Brasil/epidemiologia , Desbridamento , Feminino , Humanos , Ivermectina/administração & dosagem , Masculino , Pessoa de Meia-Idade , Fatores de RiscoRESUMO
Here, we review the human botfly (Dermatobia hominis), which belongs to a group of Diptera generically known as "myiasis-causing flies," characterized by the ability of their larvae to develop in animal flesh. In addition to its medical and economic importance, there is an academic interest in this botfly because of its peculiar biology, particularly because a phoretic diptera is needed to complete the life cycle. The larvae penetrate the host's skin, causing furuncle-like lesions that are pruritic, painful, and resemble subcutaneous nodules, producing irreversible perforations in the skin. Although D. hominis is distributed from Mexico to Argentina, a review performed by our working group from 1999 to 2015 determined that the countries with the highest infection rates in travelers are Belize, Bolivia, and Brazil. Interestingly, infected men show a higher variation in the distribution of the lesions than in women. Many treatment schemes have been suggested, including the application of highly dense liquids to the lesion to cause anoxia in the D. hominis larvae. We showed, for the first time, a Bayesian inference between D. hominis and other myiasis-causing flies. The flies grouped into two main clusters according to their capacity to produce facultative and obligatory myiasis, and D. hominis was phylogenetically close to Cuterebra spp.
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Dípteros , Miíase/parasitologia , Viagem , Animais , Belize , Bolívia , Brasil , Feminino , Humanos , Estágios do Ciclo de Vida , Masculino , Miíase/diagnóstico , Miíase/economia , Miíase/terapia , Filogenia , Fatores de RiscoRESUMO
RESUMO A miíase é a infestação dos tecidos humanos por larvas Diptera. O comprometimento ocular é raro. Os autores apresentam um caso de miíase na topografia do saco lacrimal e discutem as modalidades terapêuticas para o tratamento desta doença.
ABSTRACT Myiasis is the invasion of human tissues by Diptera larvae. Ocular involvement is rare. The objective of this paper is to report a case of myiasis in the topography of the lacrimal sac and discuss current treatments for this disease.
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Humanos , Masculino , Adulto , Aparelho Lacrimal/parasitologia , Doenças do Aparelho Lacrimal/parasitologia , Doenças do Aparelho Lacrimal/terapia , Miíase/parasitologia , Miíase/terapia , Infecções Oculares Parasitárias/terapia , Miíase/diagnósticoAssuntos
Miíase , Dermatoses do Couro Cabeludo/parasitologia , Bolívia , Criança , Feminino , Humanos , Miíase/diagnóstico , Miíase/patologia , Miíase/terapia , Dermatoses do Couro Cabeludo/diagnóstico , Dermatoses do Couro Cabeludo/patologia , Dermatoses do Couro Cabeludo/terapia , Doença Relacionada a ViagensRESUMO
La miasis es la infestación de humanos y animales vertebrados por larvas de moscas. La miasis oral es una condición rara en personas sanas y generalmente está asociada con pacientes que se encuentran imposibilitados de cuidar de su higiene personal. Tiene predilección por cavidad bucal con poca higiene, bolsas periodontales, heridas resultantes de extracciones dentarias, heridas abiertas en general. Se presenta un caso de miasis oral de una mujer de 85 años postrada por secuela de enfermedad cerebro vascular y procedente de un asilo (Lima, Perú). La paciente fue referida al Hospital II de Vitarte, EsSalud, y el diagnostico se realizó con base en las características clínicas y visualización de las larvas. Se encontraron un aproximado de 150 larvas en bolsas periodontales. El tratamiento consistió en la remoción manual de las larvas, una por una y terapia oral sistémica de ivermectina con respuesta favorable...
Myiasis is the infestation of live humans and vertebrate animals by fly larvae. Oral myiasis is a rare condition in healthy persons and is usually associated with patients who are unable to take their own personal hygiene. It has predilection for poor hygiene, periodontal pockets, wounds from dental extraction, open wounds in general. (I) We present a case report of an oral myiasis in an 85 year-old female patient, who is a cerebrovascular accident prostrated patient from an old people's home (Lima, Peru). A patient was referred to the Hospital 11 de Vitarte, EsSalud, and the diagnosis was based on the characteristic clinical features and visualization of the larvae. Approximately 150 larvae were found in the periodontal pocket. Treatment consisted of manual removal of the larvae, one by one and oral ivermectina therapy with complete response...