Dentist, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Postgraduate Program in Dental Sciences, Department of Dentistry, Federal University of Rio Grande do Norte, Av. Salgado Filho, 1787, Lagoa Nova, CEP: 59056-000, Natal, RN, Brazil.
J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6 Suppl 2):101557. doi: 10.1016/j.jormas.2023.101557. Epub 2023 Jul 11.
Myiasis is a disease caused by the infestation of fly larvae in the skin, which complete part of their life cycle by feeding on host tissues.
To report a rare case of tongue myiasis in a patient admitted to a psychiatric ward, focusing on clinical management.
A dependent care and mentally challenged 55 years old male patient was hospitalized in a psychiatric ward. After 42 days, during the intraoral examination, it was noted numerous larvae peeking from inside of a wound on the dorsum of the tongue. The clinical diagnosis of myiasis was rendered. For the treatment, manual removal was performed initially and ivermectin (15 mg), metamizole sodium (500 mg/ml), and chlorhexidine digluconate (0.12%) were prescribed. After one week, larvae were no longer observed, and the wound was completely healed.
Myiasis occurrence is uncommon in the mouth, however, its correct diagnosis and treatment are necessary to avoid further damage to patients, especially those who are hospitalized.
蝇蛆病是一种由蝇幼虫在皮肤中寄生引起的疾病，其生命周期的一部分是通过宿主组织的摄取来完成的。
报告一例罕见的舌蝇蛆病病例，该病例发生于一名入住精神病病房的患者，重点介绍临床管理。
一名依赖护理和智力障碍的 55 岁男性患者被收入精神病病房。在 42 天后，口腔检查时，发现舌背一处伤口内有许多幼虫探头。临床诊断为蝇蛆病。治疗方面，最初采用手动去除，同时开了伊维菌素（15mg）、甲灭酸（500mg/ml）和葡萄糖酸氯己定（0.12%）。一周后，未再观察到幼虫，伤口完全愈合。
口腔蝇蛆病的发生并不常见，但为了避免对患者，尤其是住院患者造成进一步的损害，正确诊断和治疗是必要的。
