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Orbital myiasis--a case report.

D C Agarwal1, B Singh

  • 1Dept. of Ophthalmology Medical College, Amritsar.

Indian Journal of Ophthalmology
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

A rare case of basal cell carcinoma mimicked orbital myiasis, with the orbit filled with maggots. Histopathology confirmed the cancer and secondary fly larvae infestation, treated with turpentine oil.

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Parasitology

Background:

  • Basal cell carcinoma (BCC) is the most common type of skin cancer, typically affecting sun-exposed areas.
  • Orbital myiasis, while rare, involves infestation of the eye socket by fly larvae.

Observation:

  • A patient presented with an unusual orbital condition mimicking myiasis, characterized by the presence of numerous maggots within the eye socket.
  • The orbital lesion exhibited features suggestive of a neoplastic process.

Findings:

  • Histopathological examination of the ulcerative margin confirmed basal cell carcinoma.
  • The tumor was secondarily infested with fly larvae, indicating a complex presentation of malignancy and parasitic infestation.
  • Treatment involved the application of turpentine oil packs for maggot removal.

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Implications:

  • This case highlights the importance of considering unusual presentations of common malignancies.
  • It underscores the need for thorough histopathological examination in diagnosing orbital lesions, especially when myiasis is suspected.
  • The successful management involved a combined approach addressing both the malignancy and the parasitic infestation.