Oral myiasis: a case report.
Oral Myiasis is a rare pathology in humans and is associated with poor oral hygiene, alcoholism, senility, suppurating lesions, severe halitosis and others conditions. The treatment is a mechanical removal of the maggots one by one but a systemic treatment with Ivermectin, a semi-synthetic macrolide antibiotic, have been used for treatment for oral myiasis. We present a case report of a 32-year-old man indigent, alcohol-dependent with an extensive necrotic area and acute swelling in upper lip and fetid odor. The patient's management included topic use of gentian violet, oral therapy with ivermectin (6 mg orally), surgical exploration to remove the larvae and necrotic tissue. After the complete larvae removal the swelling and the wounds were healing normally, the patients was referred to plastic surgery to repair tissue damage. The prevention of human myiasis is by education, but unfortunately in the developing countries some people live in low social condition, predisposing the occurrence of the infestation.
Abdo
Evandro Neves
EN
School of Dentistry, Federal University from Minas Gerais, Brazil. enabdo@uai.com.br
Sette-Dias
Augusto César
AC
Comunian
Cláudio Rômulo
CR
Dutra
Carlos Eduardo Assis
CE
Aguiar
Evandro Guimarães de
EG
D000328:Adult; D006801:Humans; D008047:Lip Diseases / Q000469:parasitology* / Q000628:therapy*; D008297:Male; D009198:Myiasis / Q000628:therapy*