de Souza Barbosa Taís, Salvitti Sá Rocha Renata Andréa, Guirado Cecília Gatti, Rocha Fábio Jordão, Duarte Gavião Maria Beatriz
Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Brazil.
Int J Dermatol. 2008 Jul;47(7):696-9. doi: 10.1111/j.1365-4632.2008.03725.x.
Oral myiasis is usually caused by flies of the order Diptera. One of the causes of human myiasis is Cochliomyia hominivorax, which is a true obligate parasite of mammals.
A case of oral myiasis in a 5-year-old girl is reported. She presented with a swelling on the hard palate accompanied by intense pain and a fetid odor. A literature review of oral myiasis reports in children was performed.
The poor oral hygiene, lip incompetence, open bite, and residence in a rural area were considered to be predisposing factors for larval infestation in this patient. Treatment consisted of manual larval removal and systemic therapy with antimicrobials.
The prevention of human myiasis should involve the control of fly populations and general cleanliness, such as reducing decomposition odors and cleaning and covering wounds. In addition, the public should be informed that individuals living in locations without basic sanitation are more predisposed to infestation.
口腔蝇蛆病通常由双翅目蝇类引起。人蝇蛆病的病因之一是嗜人锥蝇，它是哺乳动物真正的专性寄生虫。
报告一例5岁女孩口腔蝇蛆病病例。她表现为硬腭肿胀，伴有剧痛和恶臭。对儿童口腔蝇蛆病报告进行了文献综述。
口腔卫生差、唇部功能不全、开牙合以及居住在农村地区被认为是该患者幼虫感染的易感因素。治疗包括手动清除幼虫和使用抗菌药物进行全身治疗。
预防人蝇蛆病应包括控制蝇类数量和保持总体清洁，如减少腐烂气味以及清洁和覆盖伤口。此外，应告知公众，生活在缺乏基本卫生设施地区的人更容易受到感染。
