Ministry of Health Malaysia, Hospital Keningau, Department of Ophthalmology, Sabah, Malaysia.
Entomology & Pest Unit, Public Health Keningau, Ministry of Health Malaysia, Sabah, Malaysia.
Turk J Ophthalmol. 2021 Feb 25;51(1):62-65. doi: 10.4274/tjo.galenos.2020.00225.
An 88-year-old woman was brought to the hospital immediately after her neighbours noticed that she was bleeding from her right eye. On examination, her right eye was phthisic with maggot infestation of her right orbit. Over a hundred live maggots were extracted using forceps. Computed tomography scan revealed the infestation was confined to the right orbit. The patient underwent exenteration of the right orbit under general anaesthesia. The species was identified by an entomologist as , which has aggressive larvae that eat living tissue. This case report demonstrates that orbital myiasis caused by poses a very real risk of intracranial invasion as they feed on living tissues. Adjacent tissue destruction can be very rapid and definitive treatment involves urgent removal of its larvae via surgical debridement. To our knowledge, we are reporting the first case of orbital myiasis from a patient in Malaysia. Therefore, our case report may be helpful in the management of similar case of orbital myiasis.
一位 88 岁的女性被邻居发现右眼出血后立即被送往医院。检查发现，她的右眼已萎缩，右眼眶有蛆虫感染。使用镊子取出了一百多条活蛆。计算机断层扫描显示感染仅限于右眼眶。患者在全身麻醉下接受了右眼眶内容剜除术。昆虫学家鉴定该物种为 ，其幼虫具有攻击性，会吃掉活组织。本病例报告表明，由 引起的眼眶蝇蛆病确实存在颅内侵犯的风险，因为它们以活组织为食。相邻组织的破坏可能非常迅速，明确的治疗方法涉及通过手术清创术紧急清除其幼虫。据我们所知，我们报告的首例来自马来西亚的眼眶蝇蛆病患者。因此，我们的病例报告可能有助于类似眼眶蝇蛆病的治疗。
