title: Primary oral myiasis due to Chrysomya bezziana treated with Ivermectin. A case report.
abstract: Primary oral myiasis due to Chrysomya bezziana is a rare condition caused by invasion of tissues by larvae of the flies. A case of Oral myiasis is presented in a 12 year old boy with neuro-degenerative disease with seizures. Intra orally, a soft tissue pocket in the left buccal mucosa and a pocket under the palatal mucosa was seen containing maggots. Extra orally indurated erythematous swelling was present near the commissure of the mouth. Predisposing factors identified in the present case were mouth breathing, incompetent lips, low socioeconomic condition, malnutrition, and inability of the child to perform daily activities due to his neurodegenerative disease. Treatment consisted of manual removal of maggots following irrigation and application of turpentine oil along with a single dose Ivermectin 3 mg that was given systemically. Complete healing of the lesion was observed within 10 days without any recurrence for a follow up period of 1 year Medical personnel taking care of old / debilitated / unconscious patients need to bear in mind the possibility of Chrysomya bezziana infestation in them.
authors.affiliation: Department of Pedodontics and Preventive Children Dentistry, Dayanand Sagar College of Dental Sciences, Karnataka, India. akhilhere@yahoo.com
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Sharma
authors.forename: Amitha
authors.initials: A
authors.lastname: Hedge
mesh_terms: D000818:Animals; D000977:Antiparasitic Agents / Q000627:therapeutic use*; D002610:Cheek / Q000469:parasitology; D002648:Child; D004175:Diptera / Q000145:classification; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use*; D008297:Male; D009059:Mouth Diseases / Q000188:drug therapy / Q000469:parasitology*; D009061:Mouth Mucosa / Q000469:parasitology; D009198:Myiasis / Q000175:diagnosis* / Q000188:drug therapy; D019636:Neurodegenerative Diseases / Q000150:complications; D012640:Seizures / Q000150:complications
chemical_list: D000977:Antiparasitic Agents; D007559:Ivermectin