alexa Myiasis
ISSN: 2329-9088

Tropical Medicine & Surgery
Open Access

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Case Report

Myiasis

Hiba M. Radwan*

Infectious Diseases Consultant, Alhada Armed Forces Hospital, Taif Region, Alhada 26792, Kingdom of Saudi Arabia

*Corresponding Author:
Hiba M. Radwan
Infectious Diseases Consultant
Alhada Armed Forces Hospital
Taif Region, Alhada 26792
Kingdom of Saudi Arabia
Tel: +966 12 754 1610
E-mail: [email protected]

Received Date: July 14, 2015, Accepted Date: October 8, 2015, Published Date: October 12, 2015

Citation: Radwan HM (2015) Myiasis. Trop Med Surg 3:197. doi:10.4172/2329-9088.1000197

Copyright: © 2015 Radwan HM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Flies are well known bothersome biting nuisances of humans and animals. They can as well transmit infectious diseases and deeply invade living tissues, causing amputation, disfigurement, and, rarely, death. Flies can serve as mechanical vectors for organisms causing infectious diseases like shigellosis and leishmaniasis. They can also lay their eggs on human flesh, and their developing larvae, or maggots, can invade subcutaneous tissues and penetrate external body cavities, such as the orbits, ears, and nares. Myiasis is one of the diseases that can be caused by dipterous fly’s larvae invasion of viable or necrotic tissues. The most common clinical presentation is furuncular myiasis (superficial cutaneous); other manifestations include cavitary (atrial or invasive), intestinal, urinary, and vaginal myiasis. The major curative treatment modality for myiasis is the removal of the intact larva. A range of approaches have been successful including occluding the opening, eg, with occlusive coatings of petroleum jelly (Vaseline) or others, and gentle extraction of the intact larva when it protrudes its abdomen to reach air. Surgical intervention may sometimes be necessary. Along with larval removal, myiasis wounds should be cleansed and conservatively debrided; tetanus prophylaxis administered, and bacterial secondary infections treated with antibiotics. Prevention of myiasis includes minimizing flies’ preferred breeding environment, and following different modalities to prevent flies or larvae bites.

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