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Treatment of oral myiasis in a patient with implant-supported fixed prosthesis

Oral myiasis is a rare parasitic disease that requires immediate treatment once diagnosed. However, no standard treatment protocol can be found in the literature. Through a clinical-surgical report, we present the case of an 82-year-old man with lesions extending through the vestibule and alveolar r...

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Detalles Bibliográficos
Autores principales: Sangalette, Beatriz Sobrinho, Bortoloto, João Gabriel Perozo, Pavoni, Rafaella Ferrari, Cappellari, Valentina Interlichia, Capelari, Marcos Mauricio, Shinohara, André Luis, Calvo, Adriana Maria, Toledo, Gustavo Lopes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical de São Paulo 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115454/
https://www.ncbi.nlm.nih.gov/pubmed/37075334
http://dx.doi.org/10.1590/S1678-9946202365027
Descripción
Sumario:Oral myiasis is a rare parasitic disease that requires immediate treatment once diagnosed. However, no standard treatment protocol can be found in the literature. Through a clinical-surgical report, we present the case of an 82-year-old man with lesions extending through the vestibule and alveolar ridge of the maxilla on both sides, in addition to occupying a large part of the palate, with a considerable number of larvae. The patient was initially treated with a single dose of systemic ivermectin (6 mg orally) and topical application of a tampon soaked in ether. The larvae were then surgically removed and debridement of the wound was performed. A crushed tablet of ivermectin 6 mg was applied topically for 2 days, the remaining larvae were again mechanically removed, and the patient received intravenous antimicrobial therapy. Treatment with systemic and topical ivermectin combined with antibiotic therapy and debridement proved to be effective in treating oral myiasis.