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Nasal myiasis with orbital and palatal complications
Shaji Thomas1, Preeti Nair, Karthik Hegde
1Department of Oral and Maxillofacial Surgery, People's College of Dental Sciences and Research Centre, Bhanpur, Bhopal, Madhya Pradesh, India.
BMJ Case Reports
|July 18, 2012
Summary
A rare case of nasal myiasis in a 15-year-old girl involved worms emerging from her nose, causing pain and swelling. Prompt surgical removal and Ivermectin treatment successfully resolved the infection, averting severe complications.
Area of Science:
- Otorhinolaryngology
- Parasitology
- Infectious Diseases
Background:
- Nasal myiasis, an infestation of the nasal cavity by fly larvae, is uncommon but can lead to severe complications.
- Orbital and palatal extension of nasal myiasis presents a significant clinical challenge.
Observation:
- A 15-year-old female presented with epistaxis, nasal obstruction, foul odor, and visible worms from the right nostril.
- Symptoms included ipsilateral facial pain, infra-orbital swelling, and palatal erythema, indicating extension beyond the nasal cavity.
Findings:
- Diagnosis confirmed as nasal myiasis with orbital and palatal involvement.
- Microscopic examination revealed fly larvae (maggots) within the nasal passages.
Implications:
- Early diagnosis and intervention are crucial to prevent life-threatening complications such as intracranial extension or sepsis.
- Successful treatment with surgical maggot debridement and Ivermectin highlights effective management strategies for nasal myiasis.
- This case underscores the importance of considering myiasis in patients with suggestive nasal symptoms, especially in endemic areas.
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