Oral Myiasis In A Cerebral Palsy Patient; A Case Report And Review Of Literature

Case Report
Neeli Aarti S and Phade Prasanna A
DOI: 
http://dx.doi.org/10.24327/ijrsr.2017.0808.0620
Subject: 
science
KeyWords: 
Oral myiasis, Maggots, Cerebral palsy, Larvae, Parasitic infection.
Abstract: 

Oral myiasis is a rare condition caused by the invasion of tissues by larvae of flies. The condition commences as benign and asymptomatic, further progressing to mild to acute pain and in extreme cases may cause death of the patient. Poor oral hygiene and persistent mouth opening due to various reasons is the main predisposing factor. This is a case report of oral myiasis in a 15 year old boy suffering with cerebral palsy. Due to lip incompetence, gingival enlargement and lack of oral hygiene this condition was set in motion. Total of 38 larvae were found in upper anterior gingival sulcus. The diagnosis was based on the visualization of wriggling larvae. Treatment consisted local debridement of wound with manual removal of the larvae using turpentine oil and oral hygiene maintenance. Patient was on follow-up since six months. With this conservative management the resolution of the condition was extremely satisfactory