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O objetivo do presente relato foi descrever um caso de miiase cervical por larvas de Cochliomyia hominivorax em um homem de 54 anos, morador de uma propriedade rural do municipio de Formiga, estado de Minas Gerais, Brasil, portador de uma fistula decorrente de uma cirurgia realizada para fixacao de placa e parafusos ortopedicos na coluna cervical. Apos relatar dor no local, foram diagnosticadas larvas de Cochliomyia hominivorax em todos os estagios evolutivos na regiao da fistula cervical. O paciente foi medicado (sob prescricao medica) com ivermectina 6mg duas vezes ao dia, durante dois dias , nao tendo reposta terapeutica efetiva, sendo entao realizada a remocao aproximadamente 180 larvas de C. hominivorax por meio da utilizacao de eter e pinca anatomica. Curativos diarios precedidos de limpeza local com solucao antisseptica foram realizados, alem de antibioticoterapia com tetraciclina 500mg, quatro vezes ao dia durante tres dias. O paciente apresentou evolucao satisfatoria, apresentando-se assintomatico, tres semanas apos a intervencao terapeutica. Em humanos, a higiene pessoal, bem como precaucoes como curativos diarios e higienizacao local de ferimentos ou fistulas pos-cirurgicas devem ser realizados, prevenindo assim o aparecimento de miiases provocadas por larvas de C. hominivorax . SUMMARY The aim of this study was to report a case of cervical myiasis caused by Cochliomyia hominivorax in a 54-year-old man, a resident of a rural property in Formiga, Minas Gerais, Brazil, who carried a fistula resulting from surgery performed for fixation of plate and orthopedic screws in the cervical spine. After reporting local pain, Cochliomyia hominivorax larvae in all evolutionary stages were diagnosed in the region of the cervical fistula. The patient was medicated (prescription) with ivermectin 6 mg twice daily for two days, with no effective therapeutic response. We then proceeded to remove approximately 180 C. hominivorax larvae using ether and anatomical forceps. Daily dressings of the site preceded by cleaning with antiseptic solution were carried out, in addition to therapy with the antibiotic tetracycline 500 mg four times daily for three days. The patient recovered satisfactorily, and was asymptomatic, three weeks after the treatment. In humans, personal hygiene, and precautions such as daily dressings and local hygiene of injury or post-surgical fistulas should be performed, thus preventing the appearance of myiasis caused by larvae of C. hominivorax .

ars veterinária

MIÍASE CERVICAL EM HUMANO PROVOCADA POR LARVAS DE Cochliomyia hominivorax NO ESTADO DE MINAS GERAIS, BRASIL – RELATO DE CASO / HUMAN CERVICAL MYIASIS CAUSED BY Cochliomyia hominivorax IN MINAS GERAIS STATE, BRAZIL – CASE REPORT