Myiasis of the Tracheostomy Wound: A Case Report with Review of Literature

Abstract

OtolaryngologyOto la ry n g ol ogy: Op en A c ce ss ISSN: 2161-119XManickam et al., Otolaryngology 2015, 5:4 http://dx

Morphological and Molecular Characterizations of Cochliomyia hominivorax (Diptera: Calliphoridae) Larvae Responsible for Wound Myiasis in French Guiana

“…The Diptera order is composed of the Nematocera and Brachycera suborders. The latter comprises several important genera responsible for myiasis in humans in the Old World and New World, including Dermatobia, Calliphoridae, Cochliomyia, Cordylobia, Chrysomyia, Cuterebra, Oestrus, Gasterophilus, Hypoderma, Phaenicia (known as Lucilia), Sarcophaga, and Wohlfahrtia [10,11].…”

A Rare Case of Tracheostomal Myiasis in a Child

“…Though described worldwide, it is mostly prevalent in developing countries of tropics and subtropical regions. [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.…”

“…[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).…”

“…2 Open wounds and bodily orifices that emit odors of natural secretions are major factors in susceptibility to myiasis, as they provide a favorable environment for attraction and oviposition of flies. 4 Myiasis causing flies in India belong to the important genus Chrysomya and Lucilia (Phaenicia). 2 There are some interesting facets to this case which merit mention:…”

“…3,6,9 Secondly, small dimension of the surgical tracheostomy (as seen in children), poor care of the tracheostomy, like not changing the tube for days, and absence of covering of stoma opening (the child did not tolerate this and often removed the covering playfully) probably were the important predisposing factors for myiasis infection in this case. [2][3][4]10 Lastly, Oestrus ovis (sheep nasal bot fly) identified in the present case has seldom been reported in otorhinolaryngology and is usually associated with ophthalmomyiasis. 1 Human infestation is usually seen in shepherds or people who come in close contact of these shepherds.…”