Oral myiasis treatment with combination therapy: A case report

Aim: Oral myiasis is usually caused by flies of the order Diptera. Most of the reported cases were found to be associated with inadequate personal hygiene, suppurative lesions, alcoholism, senility, severe halitosis and neurological deficit. Materials and Method:A 45 year old man with neurological deficit, presented with a complaint of insects crawling in the buccal vestibule of lower arch with intense pain and a fetid odor. Treatment consisted of manual larval removal and systemic therapy with antimicrobials and lip reconstruction was done. Result:The poor oral hygiene, neurological deficit, trauma and residence in a rural area were considered to be predisposing factors for larval infestation in this patient. Combination therapy of manual larval removal, medicinal support and surgery was required for satisfactory results. Conclusion:The prevention of human myiasis should involve the control of fly populations and general cleanliness, such as reducing decomposition odors and cleaning and covering wounds. In addition, the public should be informed that individuals living in locations without basic sanitation are more predisposed to infestation.