Korean J Otorhinolaryngol-Head Neck Surg.
2013 Oct;56(10):664-666. 10.3342/kjorl-hns.2013.56.10.664.
A Case of Nosocomial Nasal Myiasis in Comatose Patient
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. profsookim@gmail.com
- 2Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
- KMID: 2277801
- DOI: http://doi.org/10.3342/kjorl-hns.2013.56.10.664
Abstract
- A 82-year-old female was injured in a car accident and admitted to the emergency department in a comatose state. The patient was intubated and then transferred to the intensive care unit. After 2 days, live maggots were discovered from both nostrils. The maggots were treated by mechanical removal and irrigation with an antiseptic solution. After treatment of maggots, endoscopic examination revealed no remnant maggot and abnormal lesion in the nasal cavity. On the following day, maggots were retrieved from mouth in spite of a continuous appliance of an antiseptic solution into the nostrils. More careful concerns to nasal and oral hygiene were performed and no other maggots were found. We present the case of myiasis with a literature review of treatment methods of maggot.
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