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Orofacial myiasis

M R Novelli1, A Haddock, J W Eveson

  • 1Bristol University Department of Pathology and Microbiology, Bristol Royal Infirmary.

The British Journal of Oral & Maxillofacial Surgery
|February 1, 1993
PubMed
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Oral myiasis, a rare condition, presented unusually as a swollen lymph node and cheek mass in a traveler returning from The Gambia. This case emphasizes the importance of considering overseas travel in diagnosing oral myiasis.

Area of Science:

  • Medical Entomology
  • Oral Pathology
  • Infectious Diseases

Background:

  • Oral myiasis is an uncommon infestation of the oral cavity by fly larvae.
  • It is particularly rare in developed Western countries.
  • Travelers returning from endemic areas may present with unusual symptoms.

Observation:

  • A Caucasian male presented with an enlarged submandibular lymph node and a buccal mass.
  • The patient had recently traveled to The Gambia, West Africa.
  • Initial presentation mimicked other conditions, delaying diagnosis.

Findings:

  • The buccal mass and lymphadenopathy were diagnosed as oral myiasis.
  • Larval infestation was confirmed through clinical examination and potentially further diagnostics.

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  • This case highlights an atypical presentation of oral myiasis.

    • Implications:

    • Clinicians should maintain a high index of suspicion for oral myiasis in patients with relevant travel history.
    • Prompt diagnosis and treatment are crucial to prevent complications.
    • Increased awareness is needed for rare tropical diseases presenting in non-endemic regions.