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In July 5, 2004, a 59-year-old man who suffered head contusion in a fall accident was admitted to a general hospital. Computed tomography revealed intracranial left temporal to occipital hemorrhage and bilateral frontal obe contusion. Then he was admitted to an intensive care unit {ICU) at 9:55 p.m. July 5, In the morning of July 9, the attending surgeon found some 50 maggots with body length of 10 mm from his oral cavity (mainly in his pharynx and larynx), The maggots were identified as the 3rd-instar larvae ofLucilia sen'cata. The duration between admission to ICU and the discovery of 10 mm long L. sericata larvae was three and a half days. Therefore, there was room for discussion whether deposition of eggs by this causative fly was inside or outside ICU.

eisei doubutsu/eisei dobutsu

Oral myiasis due to Lucilia sericata (Diptera : Calliphoridae) on a patient suffering from cerebral contusion in an intensive care unit (ICU) of a general hospital