Nosocomial nasal myiasis in an intensive care unit

ABSTRACT

A 73-year-old Chinese man was admitted to the Accident and Emergency Premorbid Ward of a local hospital in Malaysia. The patient complained of shortness of breath with cough and was in a semi-conscious state. He was later admitted to an intensive care unit (ICU) of the hospital. Six days after admission 5-6 maggots were recoverd from the nasal cavity. The maggots were identifi ed as the third-instar larvae of Lucilia cuprina Wiedmann (Diptera Calliphoridae) based on the morphological characteristics. This patient was classifi ed as having nosocomial myiasis. The presence of the third instar larvae indicated that the infestation was not more than three to four days. An adult sarcophagid identifi ed as Parasarcophaga rufi cornis (Fabricius) caught in the ICU where the patient was warded provided further evidence of the potential for the nosocomial infestation.