A Case of Nosocomial Nasal Myiasis in Comatose Patient / 대한이비인후과학회지

ABSTRACT

A 82-year-old female was injured in a car accident and admitted to the emergency department in a comatose state. The patient was intubated and then transferred to the intensive care unit. After 2 days, live maggots were discovered from both nostrils. The maggots were treated by mechanical removal and irrigation with an antiseptic solution. After treatment of maggots, endoscopic examination revealed no remnant maggot and abnormal lesion in the nasal cavity. On the following day, maggots were retrieved from mouth in spite of a continuous appliance of an antiseptic solution into the nostrils. More careful concerns to nasal and oral hygiene were performed and no other maggots were found. We present the case of myiasis with a literature review of treatment methods of maggot.