Akrim Yassine, El Hakkouni Awatif
Biology Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, MAR.
Cureus. 2025 Mar 19;17(3):e80816. doi: 10.7759/cureus.80816. eCollection 2025 Mar.
Myiasis refers to the infestation of human and animal tissues by fly larvae. Oral myiasis is a relatively rare condition typically affecting individuals with low socio-economic status and poor hygiene. This case report describes a 21-year-old male patient with a history of chronic smoking and ischemic stroke, who developed oral myiasis following intubation for glioblastoma surgery. After 10 days post-operation, multiple larvae were identified in the oral cavity. Manual extraction and treatment with metronidazole were performed, leading to initial healing. However, the patient subsequently developed respiratory infection and septic shock, ultimately resulting in death. The report highlights the importance of prevention over treatment, emphasizing individual hygiene and collective measures to control house fly populations and improve living conditions. Effective management of myiasis requires awareness of predisposing factors and timely intervention to avoid serious complications.
蝇蛆病是指蝇类幼虫对人和动物组织的侵袭。口腔蝇蛆病是一种相对罕见的病症，通常影响社会经济地位低下且卫生条件差的个体。本病例报告描述了一名21岁男性患者，有慢性吸烟史和缺血性中风史，在胶质母细胞瘤手术插管后发生了口腔蝇蛆病。术后10天，在口腔中发现了多条幼虫。进行了手动摘除并用甲硝唑治疗，实现了初步愈合。然而，患者随后发生了呼吸道感染和感染性休克，最终导致死亡。该报告强调了预防优于治疗的重要性，强调个人卫生以及控制家蝇数量和改善生活条件的集体措施。蝇蛆病的有效管理需要了解诱发因素并及时干预以避免严重并发症。
