Naso-Ophthalmic Myiasis and Pubic Louse Infestation of Nose

Abstract

Abstract:A 15 year old girl presented to the emergency with complaints of foreign body sensation in eyes. Multiple translucent larvae were observed on the conjunctivae. A nasal cavity search also revealed similar larvae localised near the opening of nasolacrimal duct in the inferior meatus. They were identified as Oestrus ovis, which can affect humans causing cavitary myiasis, affecting eyes and rarely nose. In addition, presence of Pthirus pubis was also found in the nasal cavity. Pthirus pubis infestation has been reported from pubic hairs, axillary hairs, eyelashes, moustache and beard but never from the nasal cavity. This is a very rare case of concomitant ophthalmic and nasal myiasis along with pubic louse infestation of nasal cavity.Key words: Foreign Bodies, Larva, Myiasis, Nasal Cavity, Nasolacrimal Duct.