Palpebro-orbital myiasis in a patient with basal cell carcinoma.
OBJECTIVE
We report a patient with basal cell carcinoma presenting with severe myiasis in a large ulcer involving the upper and lower eyelid.


METHODS
Myiasis is an infestation of vertebrate animals by larvae of certain fly species. About 70 larvae were removed manually. A biopsy of the tissue underneath demonstrated a basal cell carcinoma. The myiasis was produced by the fly Lucilia sericata, currently used for treating chronic nonhealing ulcers. Because of the stage of the carcinoma, an orbital exenteration was carried out.


RESULTS
The patient died 2 days later because of cardiopulmonary failure not related to the myiasis.


CONCLUSIONS
We present a case of a severe orbital myiasis focusing on its management and life-threatening nature.
Abalo-Lojo
José Manuel
JM
Service of Ophthalmology, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela - Spain. jmabalolojo@yahoo.es
López-Valladares
María J
MJ
Llovo
J
J
Garcia
Abel
A
Gonzalez
Francisco
F
D000369:Aged, 80 and over; D000818:Animals; D002280:Basal Cell Carcinoma / Q000473:pathology*; D004175:Diptera; D015822:Eye Infections, Parasitic / Q000469:parasitology / Q000601:surgery; D005141:Eyelid Diseases / Q000469:parasitology* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009198:Myiasis / Q000469:parasitology* / Q000601:surgery; D017233:Orbit Evisceration; D009916:Orbital Diseases / Q000469:parasitology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed