Case Report : Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis and Facial Sequelae of Leprosy

We describe a case of nasal myiasis in an 89-year-old Brazilian patient affected by leprosy with severe nasal sequelae. An initial treatment comprising sinusectomy combined with nasal endoscopy removed more than 300 larvae, supplemented by systemic treatment using oral and topical ivermectin and levofloxacin. Infestation recurred after 2 months, was treated similarly, and resolved completely. The case could be attributed to severe nasal leprosy sequelae, with a lack of sneezing reflex, painless ulceration, atrophic rhinitis (ozena), and inability to clean the nose properly due to hand and nose impairment. This case illustrates the importance of long-term medical follow-up of patients with leprosy sequelae.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:102

Enthalten in:

The American journal of tropical medicine and hygiene - 102(2020), 2 vom: 05. Feb., Seite 448-450

Sprache:

Englisch

Beteiligte Personen:

Serafim, Rachel Azevedo [VerfasserIn]
do Espírito Santo, Rachel Bertolani [VerfasserIn]
de Mello, Ricardo Andrade Fernandes [VerfasserIn]
Collin, Simon M [VerfasserIn]
Deps, Patrícia Duarte [VerfasserIn]

Links:

Volltext

Themen:

70288-86-7
74469-00-4
Amoxicillin-Potassium Clavulanate Combination
Anti-Bacterial Agents
Insecticides
Ivermectin
Journal Article

Anmerkungen:

Date Completed 15.05.2020

Date Revised 01.02.2021

published: Print

Citation Status MEDLINE

doi:

10.4269/ajtmh.19-0708

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM304044431