Exuberant Oral Myiasis Caused by Musca domestica (Housefly)

Area of Science:

• Medical Entomology
• Parasitology
• Oral Medicine

Background:

• Oral myiasis is a rare infestation of the oral cavity by fly larvae, predominantly affecting developing nations.
• It is often linked to poor oral hygiene, persistent mouth opening, and pre-existing oral conditions like lesions or trauma.

Observation:

• A 42-year-old female presented with severe oral myiasis, characterized by swelling, pain, tooth mobility, and foul odor.
• Clinical examination and patient history were crucial for diagnosis, revealing the presence of parasitic larvae in the oral tissues.

Findings:

• The case highlights an exuberant presentation of oral myiasis requiring multifaceted management.
• Treatment involved turpentine oil application, mechanical larval extraction, extraction of mobile teeth, and surgical curettage.

Implications:

• This case underscores the importance of prompt diagnosis and comprehensive management for oral myiasis.
• Effective treatment, including larval removal, dental care, antibiotics, analgesics, and patient education on oral hygiene, leads to successful resolution and prevents recurrence.