Khan Hassam Zaka, Shahid Syeda Aliza, Bakht Nausheen, Zaidi Syed Shahid Nafees
Anatomy, Combined Military Hospital (CMH) Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Pathology, Combined Military Hospital (CMH) Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Cureus. 2024 Jun 15;16(6):e62414. doi: 10.7759/cureus.62414. eCollection 2024 Jun.
Myiasis is a rare parasitic condition, caused by fly larvae infesting human tissues. Its consequences can be severe, as deafness, blindness, extensive tissue loss, and even death can occur due to the infestation. We present a case of myiasis in a 62-year-old Pakistani woman with advanced well-differentiated oral squamous cell carcinoma (OSCC) undergoing palliative chemotherapy. The patient presented with an extensive, necrotic lesion in the submental and submandibular region infested with live larvae. Management included mechanical removal over three sessions and ivermectin. Once all the larvae were eradicated, the patient was referred to the plastic surgery department for reconstruction. This case report highlights the importance of maintaining a high index of suspicion for myiasis in patients with OSCC, particularly those with extensive ulcerated lesions. Educating at-risk individuals and healthcare providers on myiasis and the importance of wound hygiene is crucial for reducing the burden of this preventable complication.
蝇蛆病是一种罕见的寄生虫病，由蝇幼虫寄生于人体组织引起。其后果可能很严重，因为感染可能导致耳聋、失明、广泛的组织损伤，甚至死亡。我们报告一例62岁患有晚期高分化口腔鳞状细胞癌（OSCC）并正在接受姑息化疗的巴基斯坦女性发生蝇蛆病的病例。患者颏下和下颌下区域出现广泛的坏死性病变，有活的幼虫寄生。治疗包括分三次进行机械清除以及使用伊维菌素。一旦所有幼虫被根除，患者被转诊至整形外科进行重建。本病例报告强调了对OSCC患者，尤其是那些有广泛溃疡病变的患者，保持对蝇蛆病高度怀疑指数的重要性。对高危个体和医护人员进行关于蝇蛆病及伤口卫生重要性的教育，对于减轻这种可预防并发症的负担至关重要。
