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Title: Treatment of nasal myiasis with ivermectin irrigation.
Authors: Tay, Sze Yen
Ramasamy, Barathy Rani
Watson, Donald Ashley
Montoya, Manuel
Citation: BMJ case reports 2018-08-04; 2018
Abstract: We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasis.
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Journal title: BMJ case reports
Publication Date: 2018-08-04
Type: Journal Article
DOI: 10.1136/bcr-2017-224142
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