Oral myiasis after cerebral infarction in an elderly male patient from southern China:A case report  

作　　者：Tie-Zhu Zhang Ying Jiang Xin-Tong Luo Rui Ling Jing-Wen Wang 

机构地区：[1]Department of Stomatology,The Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2020年第24期6499-6503,共5页世界临床病例杂志

摘　　要：BACKGROUND Myiasis is a rare but risky pathology caused by a parasitic infestation of humansand animals by the dipterous larva. Oral myiasis occurs when soft tissues of theoral cavity are invaded by the larvae of flies. It is not a common disease for thereason that the oral cavity is not easily reachable for the fly to lay eggs. But it cancause pain, infection, uncomfortable feeling when the worms move, tissuedestruction and/or even life-threatening hemorrhages.CASE SUMMARY We reported a case of oral myiasis after cerebral infarction in a 78-year-old malepatient from southern China (Guangdong Zhanjiang). As a result of cerebralinfarction, he suffered from right hemiplegia, mobility and mental decline forabout 3 mo. He had difficulty swallowing and was fed via a feeding tube. Hemostly engaged in mouth breathing and had poor oral and dental hygiene. Morethan 20 live larvae were collected from the patient’s oral cavity, which werelocalized in the maxillary gingiva, the mandibular gingiva and the tongue. Thepatient recovered after the routine oral cleaning, removal of maggots,debridement and anti-infection treatment.CONCLUSION Early diagnosis and treatment of this infestation are essential due to thebothersome symptoms, such as inflammation, intense anxiety over the larvaemovement, possible serious complications, etc. Clinical staff should be familiarwith this infestation, and this disease should be considered, especially inphysically and mentally disabled patients or those at significant risk for infection.Necessary measures, including good sanitation, personal and environmentalhygiene and special care should be adopted so as to prevent this disease.

关 键 词：Oral myiasis Larva Oral cavity Cerebral infarction Case report 

分 类 号：R743.33[医药卫生—神经病学与精神病学]