RESUMO
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.
Assuntos
Adolescente , Animais , Humanos , Masculino , Infecção Hospitalar/microbiologia , Dípteros , Evolução Fatal , Doenças da Boca/complicações , Miíase/complicações , Tuberculose Meníngea/complicações , TurquiaRESUMO
Se informa de un caso de miasis nosocomial en un paciente de 86 años internado en el antiguo Hospital "San Rafael", Alajuela, Costa Rica. El paciente presentaba múltiples complicaciones. Fue sometido a respiración asistida y a la colocación de una sonda nasogástrica. Transcurridos cinco días de su internamiento se evidenció la presencia de larvas de mosca en su cavidad oral, que morfológicamente corresponden a Sarcophaga spp. (Diptera: Sarcophagidae). El presente constituye el primer caso de miasis nosocomial informado en la literatura médica de Costa Rica.
We informed about a nosocomial myiasis case in an 86 years old patient that was admitted in the old Hospital "San Rafael", Alajuela, Costa Rica, with many health problems. This patient received assisted respiration and implantation of a nasogastric probe. After five days of admission, the presence of muscoid larvae in oral cavity was documented. The morphology of collected maggots is compatible with Sarcophaga sp. (Diptera: Sarcophagidae). This is the first case of nosocomial myiasis informed in the medical literature of Costa Rica.