Open AccessNosocomial nasal myiasis in an intubated patient
Author(s) -
YiTzu Lee,
Te-Li Chen,
YiChun Lin,
ChangPhone Fung,
Wen-Long Cho
Publication year - 2011
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.535
H-Index - 42
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1016/j.jcma.2011.06.001
Subject(s) - medicine , maggot , myiasis , surgery , mechanical ventilation , anesthesia , larva , botany , biology
We report a case of nasal myiasis caused by Sarcophaga spp., noted during hospitalization. A 74-year-old man was admitted with non-ST-elevation myocardial infarction. The patient underwent coronary arterial bypass surgery and was then mechanically ventilated by means of a nasotracheal tube for the next 8 days. After extubation, a total of seven maggots were retrieved from both nostrils. The larvae were removed and reared to mature flies, which were identified as Sarcophaga peregrina. From the clinical course and the fly's life cycle, it was concluded that the infestation was hospital-acquired.
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