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Title: Treatment of nasal myiasis with ivermectin irrigation.
Authors: Tay, Sze Yen
Ramasamy, Barathy Rani
Watson, Donald Ashley
Montoya, Manuel
Affiliation: Infectious Diseases Department, Royal Darwin Hospital, Darwin, Northern Territory, Australia..
Department of General Medicine, The Northern Hospital, Epping, Victoria, Australia.. Department of General Medicine, Cabrini Hospital, Malvern, Victoria, Australia..
Infectious Diseases Department, Canberra Hospital, Canberra, Australian Capital Territory, Australia.. Australian National University School of Clinical Medicine Canberra Hospital Campus, Woden, Australian Capital Territory, Australia..
Faculty of Medicine, Universidad Nacional de San Antonio Abad, Cusco, Peru.. Departments of Medicine, Infectology and Pulmonology, Hospital Regional del Cusco, Cusco, Peru..
Issue Date: 4-Aug-2018
Citation: BMJ case reports 2018-08-04; 2018
Abstract: We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.
DOI: 10.1136/bcr-2017-224142
Type: Journal Article
Subjects: ear, nose and throat
ear, nose and throat/otolaryngology
travel medicine
tropical medicine (infectious disease)
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