Savaş Nilgün, Aykur Mehmet
Faculty of Medicine Hospital, Department of Internal Medicine, Department of Intensive Care, Gaziosmanpaşa University, Tokat, Turkey.
Faculty of Medicine Hospital, Department of Parasitology Tokat, Tokat Gaziosmanpaşa University, PO Box 60030, Tokat, 60100 Turkey.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4677-4681. doi: 10.1007/s12070-024-04767-9. Epub 2024 May 31.
Myiasis is a disease caused by fly larvae from the Diptera order settling in various tissues and organs of humans or animals. To report the diagnosis of myiasis larvae invading the oral and nasal cavities of patients in the management of intensive care units and to draw attention to the poor hygiene situation. A 78-year-old male patient diagnosed with cancer and a 93-year-old male patient diagnosed with ischemic cerebrovascular disease were followed up in the intensive care unit. On the 21st day of the cancer patient's hospitalization, eight larvae were removed from the oral cavity. In the first month of the other patient's hospitalization, six larvae were seen in the patient's nasal osteum near the feeding tube. A clinical diagnosis of myiasis was made and the larvae were initially manually removed for treatment, followed by medication. In conclusion, myiasis is a rare condition, but good hygiene, correct diagnosis, and treatment are necessary to prevent further harm to those who have risk factors such as immunosuppression, poor hygiene, malnutrition, diabetes, and peripheral vascular disease, particularly those who are hospitalized.
The online version contains supplementary material available at 10.1007/s12070-024-04767-9.
蝇蛆病是一种由双翅目蝇类幼虫寄生于人和动物的各种组织和器官而引起的疾病。报告重症监护病房患者中蝇蛆幼虫侵入口腔和鼻腔的诊断情况，并提请注意卫生状况不佳的问题。一名78岁的男性癌症患者和一名93岁的男性缺血性脑血管疾病患者在重症监护病房接受随访。癌症患者住院第21天，从口腔取出8条幼虫。另一名患者住院第一个月，在靠近饲管的鼻骨处发现6条幼虫。临床诊断为蝇蛆病，最初通过手动清除幼虫进行治疗，随后用药。总之，蝇蛆病是一种罕见疾病，但保持良好卫生、正确诊断和治疗对于预防免疫抑制、卫生状况差、营养不良、糖尿病和周围血管疾病等危险因素人群，尤其是住院患者受到进一步伤害是必要的。
在线版本包含可在10.1007/s12070-024-04767-9获取的补充材料。
