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Oral myiasis in an elderly patient
Michel Campos Ribeiro1, André De Oliveira Pepato, Fernando Pando De Matos
1Department of Oral and Maxillofacial Surgery and Periodontology, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil. michelcampos@usp.br
Gerodontology
|October 30, 2010
Summary
Oral myiasis, a rare condition in older men, involves fly larvae infesting oral tissues. Prompt mechanical removal and insect identification are crucial for preventing severe complications and potential fatalities.
Area of Science:
- Medical Entomology
- Clinical Medicine
Background:
- Myiasis is the infestation of living tissue by fly larvae (maggots).
- Oral myiasis is rare, particularly in debilitated older individuals.
- Infestations are associated with poor hygiene and prevalent in tropical regions.
Observation:
- A case of oral myiasis in a debilitated older man is presented.
- Infestation involved oral soft tissues and the sinus cavity.
- Diagnosis was confirmed via clinical examination.
Findings:
- 110 maggots were removed from the patient's oral cavity.
- The causative agent was identified as Cochliomyia hominivorax (Calliphoridae family).
- The patient experienced severe systemic complications and died post-procedure.
Implications:
- Mechanical maggot removal and species identification are critical for managing oral myiasis.
- Early intervention prevents tissue damage and secondary bacterial infections.
- Debilitated elderly patients require heightened vigilance for oral myiasis due to increased susceptibility.
