Xu Hua, Fan Wen, Li Wenhua, Wang Hongfei, Dou Lin
Department of Intensive Care Unit, Key Laboratory for Critical Care Medicine of the Ministry of Health, Emergency Medicine Research Institute, Tianjin First Center Hospital, Tianjin, China.
SAGE Open Med Case Rep. 2024 Oct 5;12:2050313X241286680. doi: 10.1177/2050313X241286680. eCollection 2024.
Nasal myiasis is a nasal infestation caused by myiasis, a parasitic disease affecting the nasal cavity. It is a rare condition. The nasal cavity is in close proximity to the sinuses, eyes, and cranial cavity. If the fly larvae migrate into this location, it may result in significant complications. The prompt and appropriate removal of maggots and the administration of an efficacious treatment can effectively prevent further deterioration of the disease. In this case study, we present the case of a 55-year-old woman who was admitted to the intensive care unit with severe respiratory failure. On the fourth day following admission, the patient remained unconscious, and several white larvae emerged from the nasal cavity. Through identification, the larvae were determined to be larvae. Subsequently, saline irrigation was performed under nasal endoscopy, and anti-inflammatory therapy was administered to the patient to prevent intracranial infection. Following treatment, the patient's symptoms were effectively managed, and the prognosis remained favorable until the 1-month follow-up. This case report presents a literature review of the reported cases of nasal myiasis caused by and discusses the susceptibility factors and treatment modalities for nasal myiasis.
鼻蝇蛆病是一种由蝇蛆病引起的鼻腔感染，蝇蛆病是一种影响鼻腔的寄生虫病。它是一种罕见的病症。鼻腔与鼻窦、眼睛和颅腔相邻。如果蝇幼虫迁移到这个部位，可能会导致严重的并发症。及时、适当地清除蛆虫并给予有效的治疗可以有效防止病情进一步恶化。在本病例报告中，我们介绍了一名55岁女性的病例，她因严重呼吸衰竭入住重症监护病房。入院后第四天，患者仍昏迷不醒，鼻腔中出现了几条白色幼虫。经鉴定，这些幼虫为 幼虫。随后，在鼻内镜下进行了盐水冲洗，并对患者进行了抗炎治疗以预防颅内感染。治疗后，患者的症状得到有效控制，直到1个月随访时预后仍然良好。本病例报告对已报道的由 引起的鼻蝇蛆病病例进行了文献综述，并讨论了鼻蝇蛆病的易感因素和治疗方式。
