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一名6岁脑瘫患儿的口腔蝇蛆病：病例报告

Oral Myiasis in a 6-year-old Child with Cerebral Palsy: A Case Report.

作者信息

Gudipati Mythreyi, Jampanapalli Sharada R

机构信息

Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Hyderabad, Telangana, India.

出版信息

Int J Clin Pediatr Dent. 2024 Nov;17(11):1281-1284. doi: 10.5005/jp-journals-10005-2983. Epub 2024 Dec 19.

DOI:10.5005/jp-journals-10005-2983
PMID:39781385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703759/
Abstract

AIMS AND BACKGROUND

Myiasis is an infestation of live humans or animals with dipterous larvae that feed on the host's live or dead tissue. The incidence of oral myiasis is rare and even less common in children. Poor oral hygiene, neurological disabilities, bedridden or locomotor disabilities, low socioeconomic status, malnutrition, etc., are shown as important predisposing factors.

CASE DESCRIPTION

A 6-year-old female child reported a chief complaint of swelling, pain, and bleeding in the upper front teeth region for 1 day. Extraoral examination showed swelling of the right anterior region involving the upper lip and persistent mouth opening. Intraoral examination revealed ulceration on the anterior labial gingiva and crawling of maggots on the anterior labial aspect with seeming communication with the palatal aspect. Mechanical removal of maggots and debridement followed by antibiotic application and resorbable suture placement was done. Fourteen-day follow-up showed satisfactory healing.

CONCLUSION

Myiasis is a serious condition that requires public measures aimed at controlling flies, along with the implementation of basic sanitation and maintaining good oral and personal hygiene, for its eradication.

CLINICAL SIGNIFICANCE

Oral myiasis is a rare condition. The mean age of affected individuals at diagnosis is usually 41.9 ± 27.2 years. The age of the patient in this case report is 6 years with a comorbidity of cerebral palsy.

HOW TO CITE THIS ARTICLE

Gudipati M, Jampanapalli SR. Oral Myiasis in a 6-year-old Child with Cerebral Palsy: A Case Report. Int J Clin Pediatr Dent 2024;17(11):1281-1284.

摘要

目的与背景

蝇蛆病是双翅目幼虫寄生在活人或动物身上，以宿主的活组织或死组织为食的一种疾病。口腔蝇蛆病的发病率很低，在儿童中更为罕见。口腔卫生差、神经功能障碍、卧床或行动不便、社会经济地位低、营养不良等，是重要的诱发因素。

病例描述

一名6岁女童主诉上前牙区肿胀、疼痛和出血1天。口外检查显示右前部区域肿胀，累及上唇，且持续张口受限。口内检查发现前唇侧牙龈溃疡，前唇侧有蛆虫蠕动，似乎与腭侧相通。对蛆虫进行了机械清除和清创，随后应用了抗生素并放置了可吸收缝线。14天的随访显示愈合情况良好。

结论

蝇蛆病是一种严重的疾病，需要采取公共措施来控制苍蝇，同时实施基本卫生设施并保持良好的口腔和个人卫生，以根除该病。

临床意义

口腔蝇蛆病是一种罕见的疾病。确诊时受影响个体的平均年龄通常为41.9±27.2岁。本病例报告中的患者年龄为6岁，合并脑瘫。

如何引用本文

Gudipati M, Jampanapalli SR. Oral Myiasis in a 6-year-old Child with Cerebral Palsy: A Case Report. Int J Clin Pediatr Dent 2024;17(11):1281-1284.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b2/11703759/89935344ca11/ijcpd-17-1281-g005.jpg
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