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Nasal myiasis in leprosy leading to unusual tissue destruction
G P Thami1, M C Baruah, S C Sharmce
1STD University College of Medical Sciences, Delhi, India.
Abstract:
Nasal mucosal involvement is a constant feature in lepromatous leprosy (1). Granulomatous infiltration of nasal mucosa and consequent sensory loss may result in atrophic rhinitis and or painless ulceration, which is usually asymptomatic except for later complications of epistaxis, septal perforation, inflammation, and/or myiasis in long neglected patients. An unusual destruction of nasal architecture mimicking cancrum oris caused by myiasis in lepromatous leprosy is described for its rarity.
Insights
Leprosy commonly affects the nasal mucosa, potentially leading to severe destruction. This case highlights a rare instance of nasal architecture destruction due to myiasis in lepromatous leprosy.
Area of Science:
- Otorhinolaryngology
- Infectious Diseases
- Dermatology
Background:
- Leprosy, particularly lepromatous leprosy, frequently involves the nasal mucosa.
- Nasal mucosal damage can lead to sensory loss, atrophic rhinitis, and ulceration.
Observation:
- Patients may present with asymptomatic nasal issues until complications arise.
- Complications include epistaxis, septal perforation, inflammation, and myiasis.
Findings:
- This report details an unusual case of nasal destruction.
- The destruction mimicked cancrum oris and was caused by myiasis in lepromatous leprosy.
Implications:
- Highlights the potential for severe, neglected complications of leprosy.
- Emphasizes the importance of early diagnosis and management of nasal manifestations in leprosy.