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Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc

INTRODUCTION: Myiasis is the infestation of living bodies of animals and humans with fly larvae or maggots. These accidental or obligatory parasites grow in three stages in the host while feeding on his tissues. Myiasis in a hospital area is a rare situation when flies accidentally lay their eggs on...

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Autores principales: BOUIKHIF, Manal, EL KETTANI, Yasmine, LYAGOUBI, Mohamed, AOUFI, Sarra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MTSI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9557823/
https://www.ncbi.nlm.nih.gov/pubmed/36284557
http://dx.doi.org/10.48327/mtsi.v2i3.2022.233
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author BOUIKHIF, Manal
EL KETTANI, Yasmine
LYAGOUBI, Mohamed
AOUFI, Sarra
author_facet BOUIKHIF, Manal
EL KETTANI, Yasmine
LYAGOUBI, Mohamed
AOUFI, Sarra
author_sort BOUIKHIF, Manal
collection PubMed
description INTRODUCTION: Myiasis is the infestation of living bodies of animals and humans with fly larvae or maggots. These accidental or obligatory parasites grow in three stages in the host while feeding on his tissues. Myiasis in a hospital area is a rare situation when flies accidentally lay their eggs on patients, mostly in open wounds or cavities. Case presentation. We report a case of a 72-year-old patient admitted to a general surgery department for peritonitis, then to an intensive care unit (ICU) for septic shock where he was intubated. Some maggots were seen moving in his nasal cavity a few days after his admission and were sent to our laboratory for examination. The larvae were identified as the third larval stage of Lucilia sp. They were removed entirely after intense nasal washing. A checking examination of his nasal cavities revealed no evidence of further infestation. After nasal washing, no other larvae were seen but unfortunately, the patient died of septic shock a few days later. DISCUSSION: Few cases of nasal myiasis in hospitalized patients were reported. ICU myiasis, extremely rare, is caused by the patient's inability to fend off the flies because of their conscious state, presence of blood or odors caused by infections, and the warm humid environment. CONCLUSION: Myiasis in intensive care unit is a delicate situation that might be underreported. Preventing this infection is directly related to the control of the flies.
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spelling pubmed-95578232022-10-24 Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc BOUIKHIF, Manal EL KETTANI, Yasmine LYAGOUBI, Mohamed AOUFI, Sarra Med Trop Sante Int Microbiologie INTRODUCTION: Myiasis is the infestation of living bodies of animals and humans with fly larvae or maggots. These accidental or obligatory parasites grow in three stages in the host while feeding on his tissues. Myiasis in a hospital area is a rare situation when flies accidentally lay their eggs on patients, mostly in open wounds or cavities. Case presentation. We report a case of a 72-year-old patient admitted to a general surgery department for peritonitis, then to an intensive care unit (ICU) for septic shock where he was intubated. Some maggots were seen moving in his nasal cavity a few days after his admission and were sent to our laboratory for examination. The larvae were identified as the third larval stage of Lucilia sp. They were removed entirely after intense nasal washing. A checking examination of his nasal cavities revealed no evidence of further infestation. After nasal washing, no other larvae were seen but unfortunately, the patient died of septic shock a few days later. DISCUSSION: Few cases of nasal myiasis in hospitalized patients were reported. ICU myiasis, extremely rare, is caused by the patient's inability to fend off the flies because of their conscious state, presence of blood or odors caused by infections, and the warm humid environment. CONCLUSION: Myiasis in intensive care unit is a delicate situation that might be underreported. Preventing this infection is directly related to the control of the flies. MTSI 2022-08-26 /pmc/articles/PMC9557823/ /pubmed/36284557 http://dx.doi.org/10.48327/mtsi.v2i3.2022.233 Text en Copyright © 2022 SFMTSI https://creativecommons.org/licenses/by/4.0/Cet article en libre accès est distribué selon les termes de la licence Creative Commons CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Microbiologie
BOUIKHIF, Manal
EL KETTANI, Yasmine
LYAGOUBI, Mohamed
AOUFI, Sarra
Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title_full Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title_fullStr Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title_full_unstemmed Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title_short Myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au Maroc
title_sort myiase nasale à lucilia sp. chez un patient intubé : à propos d'un cas au maroc
topic Microbiologie
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9557823/
https://www.ncbi.nlm.nih.gov/pubmed/36284557
http://dx.doi.org/10.48327/mtsi.v2i3.2022.233
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