title: Oral myiasis caused by Cochliomyia hominivorax treated nonsurgically with nitrofurazone: report of 2 cases.
abstract: Accidental oral myiasis are caused by ingestion of fly's eggs or direct oviposition over a compromised area of the host. Here the authors report 2 cases of accidental oral myiasis caused by direct oviposition over an edentulous area in the first patient and in the periodontium in the second patient. Both cases were treated successfully with topical applications of nitrofurazone during a 3-day period. No surgical procedures were required. Flushing the wound with nitrofurazone caused the maggots to endure a liquid-filled anaerobic environment. Healing was uneventful in the 2 cases presented and no adverse reactions were observed during the treatment after 2 months of follow-up. The maggots of both patients were identified as Cochliomyia hominivorax.
authors.affiliation: Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, Piracicaba Dental School, State University of Campinas-UNICAMP, Piracicaba, SP, Brazil.
authors.forename: Sergio Monteiro
authors.initials: SM
authors.lastname: Lima Júnior
authors.forename: Luciana
authors.initials: L
authors.lastname: Asprino
authors.forename: Angelo Pedro
authors.initials: AP
authors.lastname: Prado
authors.forename: Roger Willian Fernandes
authors.initials: RW
authors.lastname: Moreira
authors.forename: Márcio
authors.initials: M
authors.lastname: de Moraes
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D004175:Diptera / Q000187:drug effects*; D005260:Female; D006801:Humans; D007814:Larva / Q000187:drug effects; D008297:Male; D009198:Myiasis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D009583:Nitrofurazone / Q000627:therapeutic use*; D010510:Periodontal Diseases / Q000209:etiology / Q000469:parasitology*; D016896:Treatment Outcome
chemical_list: D000891:Anti-Infective Agents, Local; D009583:Nitrofurazone