Treatment of oral myiasis in a patient with implant-supported fixed prosthesis
DOI:
https://doi.org/10.1590/S1678-9946202365027Palavras-chave:
Myiasis, Parasitology, Ivermectin, Tropical medicineResumo
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.
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Copyright (c) 2023 Beatriz Sobrinho Sangalette, João Gabriel Perozo Bortoloto, Rafaella Ferrari Pavoni, Valentina Interlichia Cappellari, Marcos Mauricio Capelari, André Luis Shinohara, Adriana Maria Calvo, Gustavo Lopes Toledo
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial 4.0 International License.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
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