ABSTRACT
Ophthalmomyiasis is a rare infection seen in susceptible individuals. We report a case of orbital myiasis in squamous cell carcinoma (SCC) in a patient of xeroderma pigmentosum. On presentation, reddish brown ulcerated mass with numerous maggots in orbit were seen. Computed tomography scan showed the presence of soft tissue lesion without any bony destruction. Following debridement, emergency exenteration with sacrifice of eyelid skin was performed. The diagnosis of SCC was confirmed on histopathologic evaluation. The maggots belonged to family Calliphoridae and secondary bacterial infection with Klebsiella organism was identified. Management issues included extensive involvement requiring exenteration, non-availability of skin graft, delayed secondary healing and recurrence of pigmented lesions in skin lining of orbit. The skin grafting was avoided as it can harbour the neoplasm.
Subject(s)
Carcinoma, Squamous Cell/parasitology , Diptera , Eye Infections, Parasitic/parasitology , Myiasis/pathology , Orbital Neoplasms/parasitology , Xeroderma Pigmentosum/pathology , Animals , Carcinoma, Squamous Cell/diagnostic imaging , Carcinoma, Squamous Cell/surgery , Debridement , Eye Enucleation , Eye Infections, Parasitic/diagnostic imaging , Eye Infections, Parasitic/surgery , Humans , Male , Myiasis/diagnostic imaging , Myiasis/surgery , Orbital Neoplasms/diagnostic imaging , Orbital Neoplasms/surgery , Tomography, X-Ray Computed , Xeroderma Pigmentosum/diagnostic imaging , Xeroderma Pigmentosum/surgery , Young AdultABSTRACT
OBJETIVO: Relatar um caso de miíase associada a carcinoma basocelular de órbita, tratada com ivermectina previamente ao ato cirúrgico. MÉTODOS: Apresentamos um caso e enfatizamos a eficácia da ivermectina no tratamento da miíase como terapêutica alternativa. RESULTADO: Após o tratamento com ivermectina via oral em dose única, observou-se a resoluçäo completa do quadro de miíase num período de 48 horas. CONCLUSÄO: A ivermectina pode ser utilizada com eficácia no tratamento da miíase orbitária, tornado desnecessária a remoçäo mecânica das larvas
