Candamourty Ramesh, Venkatachalam Suresh, Yuvaraj Vaithilingam, Sujee Chembilary
Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Pondicherry, India.
J Nat Sci Biol Med. 2013 Jan;4(1):259-62. doi: 10.4103/0976-9668.107322.
Oral myiasis is a common parasitic infestation of live human and animals caused by species of dipteran fly larvae known as maggots which may be secondary to medical disease. This case involves a 51-year-old female, poorly debilitated with advanced periodontal disease infected by the dipteral larvae in the anterior maxillary region which belonged to the family Calliphoridae and Chrysomya bezziana species. This lady was neglected from her family and presented oral myiasis with the previous history of filariasis and Hansen's disease. Secondary infestations may occur in cancrum oris, oral extraction wounds, jaw bone wounds, oral leprosy lesion, filariasis, and carcinoma. Hansen's disease (leprosy) is bacterial in origin whereas filariasis (elephantiasis) is parasitic in origin like-myiasis. The treatment consisted of manual removal of the larvae by topical application of turpentine oil, oral therapy, and surgical debridement of the oral wound.
口腔蝇蛆病是一种常见的由双翅目蝇类幼虫（即蛆）引起的寄生于人和动物活体的感染，可能继发于医学疾病。该病例涉及一名51岁女性，因晚期牙周病身体极度虚弱，上颌前部区域被丽蝇科的双翅目幼虫感染，该幼虫为贝氏金蝇。这位女士被家人忽视，患有口腔蝇蛆病，既往有丝虫病和麻风病病史。继发性感染可能发生在走马疳、拔牙伤口、颌骨伤口、口腔麻风病变、丝虫病和癌症中。麻风病起源于细菌，而丝虫病（象皮病）起源于寄生虫，与蝇蛆病类似。治疗包括局部涂抹松节油手动清除幼虫、口服治疗以及对口腔伤口进行外科清创。
