Intratracheal myiasis followed by tracheal-esophageal fistula: report of a rare case and literature review

Abstract

BackgroundTo enhance awareness of the clinical features and prevention of endotracheal myiasis.Case presentationA case of intratracheal myiasis is reported. A 61-year-old male patient with a history of laryngectomy was admitted to hospital due to tracheostomal hemorrhage of 3 h duration. Intratracheal myiasis was confirmed by bronchoscopy, and the patient underwent bronchoscopic intervention, which was complicated by a tracheal-esophageal fistula and resolved by endotracheal stenting. Twenty months after stent placement, the fistula had not healed.ConclusionIntratracheal myiasis has serious complications and is difficult to treat. For post-tracheostomy patients, healthcare providers and caregivers should pay attention to the care and monitoring of wounds and maintenance of a tidy, clean living environment to prevent intratracheal myiasis.

A Rare Case of Tracheostomal Myiasis in a Child

“…6,8 Moreover, if not treated timely, tracheostomal myiasis may cause severe complications, including secondary infection, respiratory failure, tracheal stenosis, trachea-esophageal perforations, and thromboembolization of adjoining vessels. 5,10 In conclusion, tracheostomal myiasis can occur in children with long-term tracheostomy, albeit rarely.…”

“…[2][3][4] Tracheostomal myiasis is a rare clinical entity and extremely rare in paediatric population. [2][3][4][5][6][7] In a massive internet search using PubMed/Medline services, authors could find only 3 cases reported in children on the cited subject. 6,8,9 Myiasis is classified as specific (obligate), semi-specific (facultative), and accidental (pseudomyiasis).…”