Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Ciências Biológicas - Anatomia, Bauru, São Paulo, Brazil.
Universidade de São Paulo, Faculdade de Odontologia de Bauru, Bauru, São Paulo, Brazil.
Rev Inst Med Trop Sao Paulo. 2023 Apr 14;65:e27. doi: 10.1590/S1678-9946202365027. eCollection 2023.
Oral myiasis is a rare parasitic disease that requires immediate treatment once diagnosed. However, no standard treatment protocol can be found in the literature. Through a clinical-surgical report, we present the case of an 82-year-old man with lesions extending through the vestibule and alveolar ridge of the maxilla on both sides, in addition to occupying a large part of the palate, with a considerable number of larvae. The patient was initially treated with a single dose of systemic ivermectin (6 mg orally) and topical application of a tampon soaked in ether. The larvae were then surgically removed and debridement of the wound was performed. A crushed tablet of ivermectin 6 mg was applied topically for 2 days, the remaining larvae were again mechanically removed, and the patient received intravenous antimicrobial therapy. Treatment with systemic and topical ivermectin combined with antibiotic therapy and debridement proved to be effective in treating oral myiasis.
口腔蝇蛆病是一种罕见的寄生虫病，一旦确诊需要立即治疗。然而，文献中没有找到标准的治疗方案。通过一份临床-手术报告，我们介绍了一位 82 岁男性的病例，他的双侧上颌前庭和牙槽嵴都有病变，此外还占据了大部分 palate，有相当数量的幼虫。患者最初接受了单次全身伊维菌素（口服 6 毫克）治疗和用浸有乙醚的棉塞局部应用。然后通过手术去除幼虫，并对伤口进行清创。局部应用伊维菌素 6 毫克的压碎片剂持续 2 天，再次通过机械方法去除剩余的幼虫，患者还接受了静脉抗菌治疗。全身和局部应用伊维菌素联合抗生素治疗和清创治疗被证明对口腔蝇蛆病的治疗有效。
