Case report: Nasal myiasis in an elderly patient with atrophic rhinitis and facial sequelae of leprosy

Rachel Azevedo Serafim, Rachel Bertolani Do Espírito Santo, Ricardo Andrade Fernandes De Mello, Simon M. Collin, Patrícia Duarte Deps*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

We describe a case of nasal myiasis in an 89-year-old Brazilian patient affected by leprosy with severe nasal sequelae. An initial treatment comprising sinusectomy combined with nasal endoscopy removed more than 300 larvae, supplemented by systemic treatment using oral and topical ivermectin and levofloxacin. Infestation recurred after 2 months, was treated similarly, and resolved completely. The case could be attributed to severe nasal leprosy sequelae, with a lack of sneezing reflex, painless ulceration, atrophic rhinitis (ozena), and inability to clean the nose properly due to hand and nose impairment. This case illustrates the importance of long-term medical follow-up of patients with leprosy sequelae.

Original languageEnglish
Pages (from-to)448-450
Number of pages3
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume102
Issue number2
Early online date2 Dec 2019
DOIs
Publication statusPublished - 2020

Bibliographical note

Funding information: No funding information.

Open Access: Free to read, but no Open Access licence.

Publisher Copyright: © 2020 by The American Society of Tropical Medicine and Hygiene.

Citation: Serafim, Rachel Azevedo, et al. "Case report: nasal myiasis in an elderly patient with atrophic rhinitis and facial sequelae of leprosy." The American journal of tropical medicine and hygiene 102.2 (2020): 448.

DOI: 10.4269/ajtmh.19-0708

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