Oral Myiasis in an Immunocompromised Adult Undergoing Chemotherapy: A Rare Case and Comprehensive Treatment Protocol

Abstract

Oral myiasis, a rare condition caused by the infestation of live maggots in the oral cavity, can present unique challenges in immunocompromised individuals. This case report presents a unique case of oral myiasis in an immunocompromised adult undergoing chemotherapy. A 67-year-old female suffering from metastatic carcinoma of the ovary was undergoing chemotherapy treatment at the time of presentation. Prompt diagnosis and management, including larval removal, wound care, and systemic antibiotics, were initiated. This case highlights the susceptibility of immunocompromised individuals to uncommon complications, such as oral myiasis, due to their compromised immune system. It also emphasizes the need for heightened vigilance in the oral care and monitoring of immunocompromised patients undergoing chemotherapy, as well as the importance of early intervention to prevent potential complications associated with oral myiasis. In this article, we have also included a comprehensive treatment protocol for treating this condition based on our clinical experience.

Myiasis Encountered in Squamous Cell Carcinoma of the Oral Cavity: A Case Report

“…Sometimes mechanical removal is insufficient in removing all maggots and asphyxiants such as turpentine oil can be used to drive larvae out of the tissue. Other agents, such as mineral oil, ether, chloroform, ethyl chloride, mercuric chloride, creosote, saline, phenol, calomel, olive oil, and iodoform, have also been recommended for this purpose [ 13 ].…”

“…This paralyzes the larvae, which can then be removed manually. All larvae may not be removed in one session, so frequent follow-up is important [ 13 ]. Our patient was maggot-free on her fourth follow-up visit.…”