Myiasis in Elderly Involving Oral and Nasal Cavities—Diagnosis and Treatment

Corrêa, Ana Paula Folmer; Beneti, Igor Mariotto; Ribeiro, Eduardo Dias; Pereira, Cassiano Costa Silva; Souza, Fernando A.; Gárcia-Júnior, Idelmo Rangel

doi:10.1097/scs.0000000000001579

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Cited by 7 publications

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“…Recent research suggests additional immunomodulatory effects, further expanding its potential applications. 26,27 Successful use of oral ivermectin alongside manual extraction has been reported in treating nasal and rhino-orbital myiasis cases. 7,9,[28][29][30] Dosages typically range from 2 mg to 0.2 mg/kg, with repeated courses possibly necessary.…”

Section: Discussionmentioning

confidence: 99%

A case report on use of ivermectin as nasal drop in a case of nasal myiasis

Vaidya,

Paliwal

2024

IJOAS

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We describe a case of nasal myiasis due to in a 52-year-old Hindu priest with a previously known case of right sided hemiparesis with diabetes mellitus. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation after instillation of ivermectin tabs crushed in normal saline as nasal drops, the patient self-expulsed some larvae, and rest larvae were cleared on subsequent nasal suction and clearance. He also received a course of oral ivermectin. Here, we propose that the antiparasitic oral tablet ivermectin can be used in a nasal drop formulation for the aid of nasal myiasis.

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