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|Title:||Treatment of nasal myiasis with ivermectin irrigation.|
|Authors:||Tay, Sze Yen|
Ramasamy, Barathy Rani
Watson, Donald Ashley
|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..
|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.|
|Subjects:||ear, nose and throat|
ear, nose and throat/otolaryngology
tropical medicine (infectious disease)
|Appears in Collections:||NT Health digital library|
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