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Oral myiasis in two children.
Felipe P Daltoé1, André Ricardo Nosé, Fábio Roberto Nosé
1Department of Oral Pathology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil. felipedaltoe@usp.br
The Pediatric Infectious Disease Journal
|December 29, 2012
Summary
Severe oral myiasis, a rare condition involving parasitic fly larvae in the mouth, can cause significant facial disfigurement in children. Prompt diagnosis and preventive measures are crucial for managing this parasitic infection.
Area of Science:
- Medical Entomology
- Parasitology
- Oral and Maxillofacial Surgery
Background:
- Myiasis is defined as the infestation of living or dead vertebrate tissue by parasitic dipterous larvae (flies).
- While typically mild and uncommon in the oral cavity, severe cases can occur.
- Oral myiasis presents a diagnostic challenge, especially in pediatric patients.
Observation:
- This report details two pediatric cases of severe oral myiasis.
- The condition progressed to cause significant oral and maxillofacial mutilations.
- These severe outcomes highlight the potential destructive nature of untreated oral myiasis.
Findings:
- The study documents the clinical presentation and progression of severe oral myiasis in children.
- It emphasizes the rarity of such severe manifestations in the oral cavity.
- The cases underscore the need for heightened clinical suspicion for myiasis in pediatric oral lesions.
Implications:
- Early recognition and intervention are critical to prevent severe tissue damage and disfigurement.
- Public health awareness and veterinary practices play a role in preventing zoonotic transmission of myiasis-causing flies.
- Effective management strategies and preventive measures are essential to mitigate the impact of severe oral myiasis.

