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[Nasopharyngeal myiasis during mechanical ventilation]

A Yoshitomi1, A Sato, T Suda

  • 1Department of Internal Medicine, Kikugawa General Hospital, Shizuoka, Japan.

Nihon Kyobu Shikkan Gakkai Zasshi
|May 6, 1998
PubMed
Summary

A case of myiasis, a parasitic infection, occurred in a sedated patient on mechanical ventilation. The infection was caused by Phaenicia sericata fly larvae found in the patient

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Area of Science:

  • Medical Entomology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Severe respiratory failure necessitates mechanical ventilation and sedation.
  • Hospital-acquired infections pose a significant risk to vulnerable patients.

Observation:

  • An 86-year-old woman on mechanical ventilation developed an unusual complication.
  • Larvae of Phaenicia sericata were discovered in the patient's oral and nasal cavities.
  • Endoscopic examination revealed no mucosal damage.

Findings:

  • The larvae were identified as Phaenicia sericata, indicating a case of myiasis.
  • The myiasis was likely caused by the fly laying eggs in the patient's airways during sedation.
  • The patient's death was attributed to sepsis, unrelated to the myiasis.

Implications:

  • Myiasis can occur in hospitalized patients, even those under intensive care.
  • This case highlights the importance of vigilance for opportunistic infections in sedated patients.
  • Preventive measures against insect infestation in healthcare settings may be warranted.

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