Treatment of nasal myiasis with ivermectin irrigation

Sze Yen Tay; Barathy Rani Ramasamy; Donald Ashley Watson; Manuel Montoya

doi:10.1136/bcr-2017-224142

Treatment of nasal myiasis with ivermectin irrigation

Sze Yen Tay^*, Barathy Rani Ramasamy, Donald Ashley Watson, Manuel Montoya

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.

Original language	English
Article number	224142
Journal	BMJ Case Reports
Volume	2018
DOIs	https://doi.org/10.1136/bcr-2017-224142
Publication status	Published - 2018

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title = "Treatment of nasal myiasis with ivermectin irrigation",

abstract = "We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.",

author = "Tay, {Sze Yen} and Ramasamy, {Barathy Rani} and Watson, {Donald Ashley} and Manuel Montoya",

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AU - Ramasamy, Barathy Rani

AU - Watson, Donald Ashley

AU - Montoya, Manuel

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N2 - We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.

AB - We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.

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VL - 2018

JO - BMJ Case Reports

JF - BMJ Case Reports

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ER -

Treatment of nasal myiasis with ivermectin irrigation

Abstract

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