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Oral myiasis in humans.
C A Rauen1,2, M L Lança1, C Jitumori2
1Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, University of São Paulo State, São José dos Campos, Brazil.
Clinical and Experimental Dermatology
|October 30, 2021
Summary
Human intraoral myiasis, a fly larvae infestation, can occur in vulnerable individuals. Early diagnosis and treatment with ivermectin are crucial for managing this parasitic condition.
Area of Science:
- Medical Entomology
- Parasitology
- Clinical Medicine
Background:
- Myiasis is a parasitic infestation caused by fly larvae.
- While common in animals, human intraoral myiasis is less frequent but can pose diagnostic challenges, especially in non-endemic areas.
- Vulnerable populations are at higher risk for such infestations.
Purpose of the Study:
- To report two clinical cases of human intraoral myiasis.
- To discuss the diagnostic challenges and treatment strategies for oral myiasis.
- To emphasize the importance of considering general health and preventative care in affected patients.
Main Methods:
- Case report of two male patients presenting with intraoral myiasis.
- Clinical examination and diagnosis of larval infestation in oral tissues.
- Treatment with ivermectin and antibiotics, along with preventative care guidance.
Main Results:
- Two cases of intraoral myiasis were successfully treated.
- The first patient had larvae on the alveolar ridge post-extraction; the second had larvae associated with inflammatory fibrous hyperplasia.
- Both patients received ivermectin and antibiotics, showing positive outcomes.
Conclusions:
- Intraoral myiasis requires prompt diagnosis and treatment, often involving antiparasitic medication.
- Clinicians must be vigilant for myiasis in patients, particularly those from or who have traveled to endemic regions.
- Oral myiasis can indicate underlying health issues or neglect, necessitating a holistic patient assessment.
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