Oral Myiasis Caused by Cochliomyia hominivorax in a Disabled Person.
Myiasis is a parasitic disease caused by developing maggots of fly species, which can infect humans. Patients with special needs, especially those with severe neuropsychomotor limitations, may have oral manifestations of this disease. Here, we present a clinical case in which a disabled person was affected by oral myiasis caused by Cochliomyia hominivorax. Maggots were found in two ulcerated lesions, a 2 cm diameter lesion in the maxilla and a 6 cm diameter lesion in the mandible. Forty-five maggots were removed during inspection, whereas 75 maggots were surgically removed under general anesthesia with nasotracheal intubation. Dipyrone, ivermectin, and clindamycin were prescribed, and the patient remained hospitalized for 3 days. Seven days after surgical intervention, no maggots were observed. Our study emphasizes that dentists must recognize the symptoms and behaviors of parasitic diseases that affect the oral cavity.
Department of Traumatology and Bucco-Maxillofacial Surgery, Santa Casa de Misericórdia de Barretos, 14780-320 Barretos, SP, Brazil ; School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
José Pereira
JP
Novo-Neto
School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Fabiano de Sant'Ana
Fde S
Dos Santos
School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Ana Emília Farias
AE
Pontes
School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Fernando Salimon
FS
Ribeiro
School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Fábio Luiz Ferreira
FL
Scannavino
School of Dentistry, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Alex Tadeu
AT
Martins