A Rare Case of Tracheostomal Myiasis in a Child

Bettadahalli, Vishaka; Singh, Gautam; Kumar, Sunil; Mirdha, Bijay Ranjan

doi:10.1177/0145561320958977

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Recently, tracheostomal myiasis was reported in a 4-year-old child with Guillain–Barre syndrome, vaginal myiasis in a 67-year-old homeless woman with multiple comorbidities, and cutaneous myiasis in a 95-year-old woman with a history of basal cell carcinoma. 25 – 27 …”

Section: Discussionmentioning

confidence: 99%

The epidemiology and clinical features of the neglected myiasis: A pilot surveillance study from Oman

Almayahi,

Al Hattali,

Al Kharusi

et al. 2024

Qatar Medical Journal

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Background: Myiasis is a neglected disease, characterized by ill-defined diagnostics and management protocols. Published epidemiological and clinical studies of myiasis are still scarce, although several countries, such as Oman, have reported a few cases over the past 30 years. This study explores the epidemiological profile and clinical characteristics of myiasis in South Batinah Governorate (SBG), Oman. Methodology: A prospective surveillance study was conducted in SBG from 1st November 2018 to 31st October 2019. Clinical and epidemiological data were collected using a pre-designed reporting form for suspected and confirmed cases. Results: A total of 188 cases were reported, of which 81.4% were male. One-third of cases were 11–20 years old, and a quarter reported exposure inside house. The rate of exposure was 16 per 10000 in Nakhal and Wadi Mawel. About 57% patients reported multiple re-exposure. Almost 60% of patients developed nasal or oral myiasis, 25% developed myiasis in the eye, and 4% in the ear. The most common respiratory symptoms were cough (83%), runny nose (48%), and foreign body sensation (35%). Over 50% of patients with eye exposures had redness, pain, and itchiness. Most patients (89.3%) kept animals at homes. Many cases occurred between December 2018 and April 2019, with almost one-third of exposures occurring at 5 p.m. Re-exposure likelihood for patients residing in Nakhal and Wadi Mawel was high; OR = 2.49 (95% CI 1.14–5.45), with OR = 3.59 (95% CI 1.37–9.39) for 11–20-year-olds and, OR = 3.01 (95% CI 1.07–8.42) for patients ≥ 31 years. Conclusion: The myiasis exposure rate is high in certain areas and age groups, which is most likely associated with animal-related activities. The disease has a significant impact upon people’s health in SBG. Therefore, urgent active-surveillance and clinical studies are warranted to explore possible preventive measures and treatment options. Adopting one health approach could offer an effective strategy for preventing myiasis in human and animal populations.

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Section: Discussionmentioning

confidence: 99%

The epidemiology and clinical features of the neglected myiasis: A pilot surveillance study from Oman

Almayahi,

Al Hattali,

Al Kharusi

et al. 2024

Qatar Medical Journal

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How to prove neglect in the context of the post-mortem examination

Lutz

Klinger

Holz

et al. 2023

Forensic Sci Med Pathol

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Understanding the causes, extent, and period of neglect is not only a medical but also a forensic task when it comes to legal investigations. In this study, we evaluated 46 autopsied cases where there was clear evidence of physical neglect during the last period of the deceased’s life. The age of the deceased ranged from 21 to 96 years; most of them were female (71.7%). The majority of cases (89.9%) took place in a domestic environment, with partners or relatives providing care. The most frequent post-mortem findings were pressure sores, followed by inflammatory skin changes, and signs of malnutrition and dehydration. Neglect was the cause or co-cause of death in 23% of the cases. More than half of the deceased showed severe contamination of the skin surface by excrement, and in almost 40% of the cases, fly infestation was found. The majority of insects belonged to the group of house flies (Diptera: Muscidae), mainly the common house fly, Musca domestica. By analyzing the entomological evidence, it was possible to prove an insect infestation period of at least several days ante-mortem. Since the period of neglect may be relevant in terms of legal proceedings, the present work demonstrates the particular importance of insect traces in providing this evidence. While prosecution and conviction of caregivers remain challenging, it is all the more essential that entomology and legal medicine collaborate on the analysis of findings of neglect.

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A Rare Case of Tracheostomal Myiasis in a Child

Cited by 2 publications

References 9 publications

The epidemiology and clinical features of the neglected myiasis: A pilot surveillance study from Oman

The epidemiology and clinical features of the neglected myiasis: A pilot surveillance study from Oman

How to prove neglect in the context of the post-mortem examination

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