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Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature

BACKGROUND: Myiasis is defined as the infestation of living tissues by Diptera larvae. Ophthalmic involvement occurs in less than 5% of cases. As the most uncommon type of involvement, orbital myiasis usually affects patients with poor personal hygiene, a low socioeconomic status, a history of surge...

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Autores principales: Jamshidian-Tehrani, Mansooreh, Cheraqpour, Kasra, Amini, Mohammad, Amoli, Fahimeh Asadi, Kasaee, Abolfazl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8605467/
https://www.ncbi.nlm.nih.gov/pubmed/34800187
http://dx.doi.org/10.1186/s12348-021-00271-1
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author Jamshidian-Tehrani, Mansooreh
Cheraqpour, Kasra
Amini, Mohammad
Amoli, Fahimeh Asadi
Kasaee, Abolfazl
author_facet Jamshidian-Tehrani, Mansooreh
Cheraqpour, Kasra
Amini, Mohammad
Amoli, Fahimeh Asadi
Kasaee, Abolfazl
author_sort Jamshidian-Tehrani, Mansooreh
collection PubMed
description BACKGROUND: Myiasis is defined as the infestation of living tissues by Diptera larvae. Ophthalmic involvement occurs in less than 5% of cases. As the most uncommon type of involvement, orbital myiasis usually affects patients with poor personal hygiene, a low socioeconomic status, a history of surgery, and cancer. FINDINGS: In January 2020, an 89-year-old man presented to the Oculoplastic Department of Farabi Eye Hospital (Iran) with a history of left-side progressive orbital mass for six months. A large infiltrative mass of the left orbit with extension to the globe, periorbita, and adnexa was remarkable at the presentation, and its appearance suggested malignancy. Our findings persuaded us to perform exenteration and histopathological evaluation which were reported as “undifferentiated carcinoma”. Regular follow-up visits were recommended. In June 2020, with a 3-month delay, the patient presented with the recurrence of the mass complicated with mobile alive larva. Examinations revealed numerous maggots crawling out of an ulcerative and foul-smelling lesion. He stated that fear of COVID-19 infection postponed his follow-up visit. The patient underwent immediate mechanical removal of larvae, followed by wide local excision of the mass. CONCLUSION: Patients with carcinoma of the adnexal tissues seem to be more prone to myiasis infestation even though it is an uncommon disease. Since COVID-19 is an ongoing pandemic with no end in sight appropriate protocols should be implemented to prevent loss of follow-up in these high risk patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12348-021-00271-1.
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spelling pubmed-86054672021-11-22 Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature Jamshidian-Tehrani, Mansooreh Cheraqpour, Kasra Amini, Mohammad Amoli, Fahimeh Asadi Kasaee, Abolfazl J Ophthalmic Inflamm Infect Brief Report BACKGROUND: Myiasis is defined as the infestation of living tissues by Diptera larvae. Ophthalmic involvement occurs in less than 5% of cases. As the most uncommon type of involvement, orbital myiasis usually affects patients with poor personal hygiene, a low socioeconomic status, a history of surgery, and cancer. FINDINGS: In January 2020, an 89-year-old man presented to the Oculoplastic Department of Farabi Eye Hospital (Iran) with a history of left-side progressive orbital mass for six months. A large infiltrative mass of the left orbit with extension to the globe, periorbita, and adnexa was remarkable at the presentation, and its appearance suggested malignancy. Our findings persuaded us to perform exenteration and histopathological evaluation which were reported as “undifferentiated carcinoma”. Regular follow-up visits were recommended. In June 2020, with a 3-month delay, the patient presented with the recurrence of the mass complicated with mobile alive larva. Examinations revealed numerous maggots crawling out of an ulcerative and foul-smelling lesion. He stated that fear of COVID-19 infection postponed his follow-up visit. The patient underwent immediate mechanical removal of larvae, followed by wide local excision of the mass. CONCLUSION: Patients with carcinoma of the adnexal tissues seem to be more prone to myiasis infestation even though it is an uncommon disease. Since COVID-19 is an ongoing pandemic with no end in sight appropriate protocols should be implemented to prevent loss of follow-up in these high risk patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12348-021-00271-1. Springer Berlin Heidelberg 2021-11-20 /pmc/articles/PMC8605467/ /pubmed/34800187 http://dx.doi.org/10.1186/s12348-021-00271-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Brief Report
Jamshidian-Tehrani, Mansooreh
Cheraqpour, Kasra
Amini, Mohammad
Amoli, Fahimeh Asadi
Kasaee, Abolfazl
Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title_full Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title_fullStr Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title_full_unstemmed Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title_short Orbital myiasis on recurrent undifferentiated carcinoma in the COVID-19 era: a case report and brief review of the literature
title_sort orbital myiasis on recurrent undifferentiated carcinoma in the covid-19 era: a case report and brief review of the literature
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8605467/
https://www.ncbi.nlm.nih.gov/pubmed/34800187
http://dx.doi.org/10.1186/s12348-021-00271-1
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