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Oral myiasis: a case report.

Evandro Neves Abdo1, Augusto César Sette-Dias, Cláudio Rômulo Comunian

  • 1School of Dentistry, Federal University from Minas Gerais, Brazil. enabdo@uai.com.br

Medicina Oral, Patologia Oral Y Cirugia Bucal
|March 1, 2006
PubMed
Summary

Oral myiasis, a rare human condition, is treated by removing maggots and using Ivermectin. This case highlights effective management in an indigent, alcohol-dependent patient, emphasizing prevention through improved social conditions and hygiene education.

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Area of Science:

  • Oral pathology
  • Parasitology
  • Public health

Background:

  • Oral myiasis is a rare human condition often linked to poor oral hygiene, alcoholism, and other predisposing factors.
  • Traditional treatment involves mechanical maggot removal, with systemic Ivermectin emerging as a therapeutic option.

Observation:

  • A case report details a 32-year-old, indigent, alcohol-dependent male presenting with severe oral myiasis.
  • The patient exhibited an extensive necrotic area, acute lip swelling, and fetid odor, indicative of significant infestation.

Findings:

  • Management included topical gentian violet, oral Ivermectin (6 mg), and surgical larvae/necrotic tissue removal.
  • Post-treatment, the patient showed normal wound healing and was referred for reconstructive plastic surgery.

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Implications:

  • This case underscores the importance of a multi-modal treatment approach for severe oral myiasis.
  • Prevention strategies must address socioeconomic factors and public health education, particularly in developing regions, to reduce the incidence of such infestations.