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Artigo em Inglês | MEDLINE | ID: mdl-22862986

RESUMO

OBJECTIVE: Oral myiasis is a rare infection for which treatment protocol has not yet been established. This article presents 2 cases treated with a combination of topical application of sulfuric ether and surgery. The reasons for the use of surgical therapy, as well as the possible advantages and disadvantages of drug-based treatments, are discussed. CASE REPORT: Two cases of oral myiasis are described, the first being observed in a 9-year-old child with hypotonic cerebral palsy, and the second in a 52-year-old adult, alcohol-dependent, both showing infection in the gingival sulcus. Both cases were successfully treated in a process that involved topical application of sulfuric ether, mechanical removal of larvae, and surgical debridement. CONCLUSIONS: Oral myiasis can be treated effectively with surgery after topical application of sulfuric ether. The use of drugs may suggest a therapeutic alternative, but still requires further study and experience to be implemented, especially in individuals with neurological disorders.


Assuntos
Doenças da Gengiva/parasitologia , Miíase/cirurgia , Administração Tópica , Alcoolismo/complicações , Animais , Paralisia Cerebral/complicações , Criança , Desbridamento , Humanos , Larva/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Miíase/tratamento farmacológico , Sulfetos/administração & dosagem , Sulfetos/uso terapêutico
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