Nosocomial Oral Myiasis– A Rare Case Report

Nosocomial oral myiasis, though a rare entity, do occur under certain circumstances. Early diagnosis and treatment of such conditions prevent further damage/complication, especially in patients who are in intensive care. Dentists, in co-ordination with other medical faculty, play an important role in managing such infections. Further, a greater emphasis should be paid for maintaining better hygiene in public places and in the vicinity of the hospital. This paper is an attempt to illustrate the rare occurrence of oral myiasis that was hospital acquired. Only one case has been reported till now following a search through pubmed.

A Case of Oral Myiasis Caused by Lucilia sericata (Diptera: Calliphoridae) in Korea

We report here a case of oral myiasis in the Republic of Korea. The patient was a 37-year-old man with a 30-year history of Becker's muscular dystrophy. He was intubated due to dyspnea 8 days prior to admission to an intensive care unit (ICU). A few hours after the ICU admission, 43 fly larvae were found during suction of the oral cavity. All maggots were identified as the third instars of Lucilia sericata (Diptera: Calliphoridae) by morphology. We discussed on the characteristics of myiasis acquired in Korea, including the infection risk and predisposing factors.

Oral myiasis – a case report

Oral myiasis is a rare disease caused by larvae of certain dipteran flies. A case of oral myiasis caused by chrysomya bezziana, in the maxillary anterior region in a 20 year old mentally challenged female patient is reported. Manual removal of the larvae by topical application of turpentine oil, surgical debridement of the oral wound, followed by oral therapy with broad spectrum antibiotics were used to manage the patient.

Oral myiasis caused by chrysomya bezziana: A case report.

Myiasis is caused by members of the Diptera fly family that lay eggs on food, necrotic tissue, open wounds, and unbroken skin or mucosa. Although myiasis is primarily a problem of cattle and livestock in tropics, human infestation is uncommon and occurs accidentally in persons at extremes of age, who are debilitated or not able to ensure basic hygiene and wound cleanliness. The oral cavity is an uncommon site of infestation as was seen in the case reported here.

Nosocomial Oral Myiasis by Sarcophaga sp. in Turkey

We present a case of oral myiasis in a 15-year-old boy with tuberculosis meningitis. The diagnosis was based on the visual presence of wriggling larvae about 1 cm in size and on the microscopic features of the maggots, especially those relating to stigmatic structures. The larvae were identified as third stage larvae of Sarcophaga sp.