title: Nasal myiasis: A case report.
abstract: Nasal myiasis is a rare condition, with only a few reported cases and no treatment consensus. We propose a conservative treatment approach with saline irrigation and debridement. Two patients in the ICU of Norfolk General Hospital, a tertiary academic referral center, presented simultaneously with nasal myiasis. Both patients were negative for necrotic masses or tumors, and neither patient had any contributory medical comorbidities. Both patients were treated conservatively with a single dose of pyrantel pamoate, daily sinus irrigation with saline, and daily bedside endoscopic debridement. After 2 days, the nasal myiasis resolved, and both patients recovered without sequelae. We conclude that this conservative, nonsurgical approach to management is both safe and effective.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Dr., Suite 1100, Norfolk, VA 23507. zrriaw@gmail.com.
authors.forename: Zrria L
authors.initials: ZL
authors.lastname: White
authors.forename: Michael W
authors.initials: MW
authors.lastname: Chu
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Hood
mesh_terms: D000328:Adult; D000977:Antiparasitic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009198:Myiasis / Q000628:therapy*; D009296:Nasal Cavity / Q000469:parasitology*; D009668:Nose Diseases / Q000469:parasitology* / Q000628:therapy*; D011716:Pyrantel Pamoate / Q000627:therapeutic use; D012965:Sodium Chloride / Q000627:therapeutic use; D007507:Therapeutic Irrigation; D016896:Treatment Outcome
chemical_list: D000977:Antiparasitic Agents; D012965:Sodium Chloride; D011716:Pyrantel Pamoate