International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 17 , ISSUE 11 ( November, 2024 ) > List of Articles

CASE REPORT

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

Mythreyi Gudipati, Sharada Reddy Jampanapalli

Keywords : Case report, Cerebral palsy, Maggots, Oral myiasis

Citation Information : 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.

DOI: 10.5005/jp-journals-10005-2983

License: CC BY-NC 4.0

Published Online: 19-12-2024

Copyright Statement:  Copyright © 2024; The Author(s).


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.


HTML PDF Share
  1. Zumpt F. Myiasis in Man and Animals in the Old World: A Textbook for Physicians, Veterinarians and Zoologists. London: Butterworth and Co. Ltd; 1965. p. 109.
  2. Erfan F. Gingival myiasis caused by Diptera (sacrophaga). Oral Surg Oral Med Oral Pathol 1980;49:148–150. DOI: 10.1016/0030-4220(80)90307-2
  3. Caissie R, Beaulieu F, Giroux M, et al. Cutaneous myiasis: diagnosis, treatment and prevention. J Oral Maxillofac Surg 2008;66:560–568. DOI: 10.1016/j.joms.2007.09.005
  4. Lawrence SM. Dipterous larvae infection. Br Med J 1909;9:88.
  5. dos Passos JBS, Coelho LV, de Arruda JAA, et al. Oral myiasis: analysis of cases reported in the English literature from 1990 to 2020. Spec Care Dentist 2021;41:20–31. DOI: 10.1111/scd.12533
  6. Jain S, Gupta S, Jindal SK, et al. Oral myiasis in a cerebral palsy patient: a case report. J Clin Exp Dent 2010;2(2):e110–e112. DOI: 10.4317/jced.2.e110
  7. Goddard J. Human infestation with rodent botfly larvae: a new route of entry? South Med J 1997;90:254–255. DOI: 10.1097/00007611-199702000-00022
  8. Vasanthakumar V, Varalakshmi PR, Vanmathi R. Oral myiasis of maxilla (palatal gingiva). Contemp Clin Dent 2020;11:162–164. DOI: 10.4103/ccd.ccd_49_20
  9. Victoria J, Trujillo R, Barreto M. Myiasis: a successful treatment with topical ivermectin. Int J Dermatol 1999;38:142–144. DOI: 10.1046/j.1365-4362.1999.00639.x
  10. Jain A. Myiasis in patients with oral squamous cell carcinoma—a systematic review and protocol for management. Oral Maxillofac Surg 2019;23:265–269. DOI: 10.1007/s10006-019-00757-2
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.