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Boletín Médico del Hospital Infantil de México

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2005, Number 2

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Bol Med Hosp Infant Mex 2005; 62 (2)

Myasis of nasopharynx, biologic cycle completed in vitro.

Cruz-López O, Tamariz-Cruz OJ, Muñoz-López A, Cruz-López MC, Muñoz-López S
Full text How to cite this article

Language: Spanish
References: 7
Page: 141-144
PDF size: 104.09 Kb.


Key words:

Myasis, larva, Dermatobia hominis.

ABSTRACT

Introduction. Myasis is the parasitism of organs and tissues of warm-blooded vertebrates by the larvae of flies of different species.
Case report. Thirteen year old female. Her house is provided with running water and sewer she had contact with farm house poultry. She began presenting symptoms 5 days prior to admission she presented with nasal discharge and pharyngitis. Her temperature was 38° C. At emergency services the patient was diagnosed with bacterial pharyngytis. Penicillin and clorfeniramine were administered. Three days later, larvae started coming out of her nose and mouth. In total 10 larvae were documented. In emergency services at a hospital, physical examination revealed pharyngeal erythema and rinorrhea. The larvae were described as yellowish, 10 mm long and 3 mm wide. The worms were sent to the Department of Parasitology of the School of Medicine of Puebla, Mexico, where they completed the in vitro cycle and were identified as Dermatobia hominis (fly), belonging to the Enterebridae family. In the hospital, 85 larvae were extracted from the patient. She discharged after 10 days of asymptomatic hospitalization.
Conclusion. Myasis is not frequent and it can cause great tissue destruction. Antibiotic administration is generally not warranted unless there is evidence of concomitant superinfection.


REFERENCES

  1. Cruz LO. Miasis. En: Parasitología. 2a ed. México D. F.: Méndez Editores; 1986. p. 425-30.

  2. Organización Panamericana de la Salud. Entomología Médica. Washington, D C: OPS/OMS; 1964.

  3. Brizuela TGB, Gonzáles BCM, Gonzáles BY. Miasis furunculosa por Dermatobia hominis, “Colmoyote”. Artículo en línea. Medisan 2003; 7.

  4. Guidi B, Olivveti G, Sbordoni G, Garcovich A. Diagnosis: cutaneous myasis due to Dermatobia hominis. Eur J Dermatol. 2001; 11: 250-60.

  5. Hecht JL, Mclaughlin M, Granter S. Botfly infestation (Dermatobia hominis). Arch Pathol Lab Med. 2001; 125: 405-11.

  6. Logar J, Beovic B, Triller C, Rakovec S. Subcutaneous myasis caused by Dermatobia hominis. Scand J Infect Dis. 2001; 33: 153-5.

  7. Hoeprich PD. Miasis cutáneas. En: Tratado de enfermedades infecciosas. México: Salvat Editores; 1982. p. 870-2.




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C?MO CITAR (Vancouver)

Bol Med Hosp Infant Mex. 2005;62