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Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana
Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitali...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9557118/ https://www.ncbi.nlm.nih.gov/pubmed/36245720 http://dx.doi.org/10.3389/fped.2022.955212 |
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author | Nakstad, Britt Zandile, Yeni Gaebolae, Kesiilwe Banda, Francis Msume Dinotshe, Tebo Imran, Fizzah Gezmu, Alemayehu Mekonnen |
author_facet | Nakstad, Britt Zandile, Yeni Gaebolae, Kesiilwe Banda, Francis Msume Dinotshe, Tebo Imran, Fizzah Gezmu, Alemayehu Mekonnen |
author_sort | Nakstad, Britt |
collection | PubMed |
description | Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitalized neonate in Botswana that resulted in vision loss. The neonate, who was initially hospitalized due to the complications of prematurity, received phototherapy for jaundice, and to avoid phototherapy-related retinopathy, the neonate’s eyes were covered using cotton gauze and adhesive tapes that potentially damaged the skin as commercially available eye covering was not in stock. Therefore, eye covering was not changed and when the eye covering was removed almost 3 days after placement, insect larvae were noted in the patient’s eyes and nose. Ophthalmologic evaluation revealed perforated corneal ulcer and uveal prolapse in the right eye resulting in complete blindness and corneal scarring of the left eye. The patient’s clinical course was further complicated by an Enterobacter species bloodstream infection. This case highlights the importance of vector control as a major patient safety measure for neonatal units in warm climates. Flies had been observed in the room and mitigation measures included reducing fly populations through traps, screens, and removal of standing water and leftover food. Every mother and staff were sanitizing hands when entering the room and gowns were used. This case also reinforces the importance to conduct vigilant monitoring of patients, especially neonates with eyes covered during phototherapy. |
format | Online Article Text |
id | pubmed-9557118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95571182022-10-14 Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana Nakstad, Britt Zandile, Yeni Gaebolae, Kesiilwe Banda, Francis Msume Dinotshe, Tebo Imran, Fizzah Gezmu, Alemayehu Mekonnen Front Pediatr Pediatrics Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitalized neonate in Botswana that resulted in vision loss. The neonate, who was initially hospitalized due to the complications of prematurity, received phototherapy for jaundice, and to avoid phototherapy-related retinopathy, the neonate’s eyes were covered using cotton gauze and adhesive tapes that potentially damaged the skin as commercially available eye covering was not in stock. Therefore, eye covering was not changed and when the eye covering was removed almost 3 days after placement, insect larvae were noted in the patient’s eyes and nose. Ophthalmologic evaluation revealed perforated corneal ulcer and uveal prolapse in the right eye resulting in complete blindness and corneal scarring of the left eye. The patient’s clinical course was further complicated by an Enterobacter species bloodstream infection. This case highlights the importance of vector control as a major patient safety measure for neonatal units in warm climates. Flies had been observed in the room and mitigation measures included reducing fly populations through traps, screens, and removal of standing water and leftover food. Every mother and staff were sanitizing hands when entering the room and gowns were used. This case also reinforces the importance to conduct vigilant monitoring of patients, especially neonates with eyes covered during phototherapy. Frontiers Media S.A. 2022-09-29 /pmc/articles/PMC9557118/ /pubmed/36245720 http://dx.doi.org/10.3389/fped.2022.955212 Text en Copyright © 2022 Nakstad, Zandile, Gaebolae, Banda, Dinotshe, Imran and Gezmu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Nakstad, Britt Zandile, Yeni Gaebolae, Kesiilwe Banda, Francis Msume Dinotshe, Tebo Imran, Fizzah Gezmu, Alemayehu Mekonnen Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title_full | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title_fullStr | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title_full_unstemmed | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title_short | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
title_sort | ophthalmomyiasis in a preterm neonate resulting in blindness: a case report from botswana |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9557118/ https://www.ncbi.nlm.nih.gov/pubmed/36245720 http://dx.doi.org/10.3389/fped.2022.955212 |
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