RESUMO
Rhinoestrus species larvae are considered obligatory parasites of the nasal cavities of equine. This type of myiasis is characterised by sneezing, coughing, olfactory nerve damage and encephalomyelitis. Also, it has a zoonotic importance as the larvae might cause ophthalmomyiasis and conjunctivitis in human. While few studies describing R. purpureus adult fly antennal sensillae are available, the R. usbekistanicus antennal sensillae have never been described. Also, scanty data are available on the adult flies of Rhinoestrus species morphology. For this reason, the current study aimed at identiying and comparing different Rhinoestrus species (larvae, adult flies and time of pupation). Using light and scanning electron microscopy, we have evidenced differences between R. purpureus, R. usbekistanicus larvae in spination pattern, shape of spines, peritremes shape and ultrastrucures. The study also showed that for both species the pupa required 1521 days at room temperature to develop into adult flies, identified the adult male flies and female external genitalia have been identified. As well, the gross features of R. purpureus and R. usbekistanicus adult flies which included the disposition of the parafrontalia and parafascialia tubercles, mesonotal weals, wings and abdominal pellonisityhave been characterised and the sensillae compared.
Assuntos
Dípteros , Doenças dos Cavalos , Miíase , Humanos , Cavalos , Masculino , Animais , Feminino , Dípteros/anatomia & histologia , Dípteros/fisiologia , Larva/anatomia & histologia , Miíase/veterinária , Cavidade Nasal/parasitologia , Doenças dos Cavalos/parasitologiaRESUMO
Nasal myiasis is a rare parasitic disease. The growth of myiasis in the nasal cavity causes damage to the nasal cavity and paranasal sinuses. Once the dipeterous larvae are migrated, it causes damage to the surrounding structures such as eyes and skull cavity. Proper treatment and active prevention and control can reduce and avoid the occurrence of serious complications. On May 14, 2020, a patient with cerebral infarction and coma was admitted to Xiangya Hospital of Central South University and developed nasal myiasis. During the treatment of the primary disease, the patient was found to be infected with rhinomyiasis. The patient was treated with dehydration, cranial pressure reduction, brain protection, blood glucose control, blood pressure control, and anti-infection. Nasal endoscopy and nasal irrigation were carried out to treat nasal myiasis. The patient was properly placed and isolated for prevention and control so as to prevent the spread of myiasis in the ward. After 16 days, the patient regained consciousness, no worm was found in the nasal cavity, and was discharged from the hospital. The patient was followed-up for 6 months, no maggots were found in the nasal cavity of the patients, no complaints of nasal discomfort was occurred, and no other patients and medical staff were infected with myiasis. The prevention of myiasis is very important, and proper measures should be taken to reduce the risk of community and hospital infection.
Assuntos
Miíase , Seios Paranasais , Estado de Consciência , Humanos , Miíase/complicações , Miíase/terapia , Cavidade Nasal/parasitologia , NarizRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Miíase/diagnóstico , Obstrução Nasal/parasitologia , Miíase/terapia , Seios Paranasais/parasitologia , Cavidade Nasal/parasitologia , Miíase/microbiologia , Doenças Parasitárias/diagnóstico , Doenças Parasitárias/terapia , Larva/efeitos dos fármacos , Larva/parasitologia , Ivermectina/uso terapêutico , Líquido da Lavagem Nasal/parasitologia , Lavagem Nasal , Corticosteroides/uso terapêuticoRESUMO
Both sexes of Brachiella malayensis n. sp. are described on the basis of specimens found in the nostrils of narrow-barred Spanish mackerel Scomberomorus commerson (Lacepède) collected off Besut, Malaysia. The female of this species closely resembles those of B. magna Kabata, 1968 and B. cybii Pillai, Prabha et Balaraman, 1982 but is distinguishable mainly by the body size and the proportions of the cephalosome, posterior processes and caudal rami. While examining the male, we noticed a systematic inconsistency in some lernaeopodid genera. The genus Brachiella Cuvier, 1830, represented by its type-species Brachiella thynni Cuvier, 1830, and two monotypic genera Charopinopsis Yamaguti, 1963 and Eobrachiella Ho et Do, 1984, represented by Charopinopsis quaternia (Wilson, 1935) and Eobrachiella elegans (Richiardi, 1880), respectively, share distinct synapomorphies in the embracing (vs. pinching) elongate male maxilliped and the female trunk with a pair of long, cylindrical ventroposterior processes (in addition to a pair of modified caudal rami), both of which are involved in their unique reproductive strategy. The latter two genera are herewith relegated to junior synonyms of Brachiella.
TITLE: Une nouvelle espèce de Brachiella (Copepoda, Siphonostomatoida, Lernaeopodidae) de Malaisie péninsulaire, avec relégation des deux genres Charopinopsis et Eobrachiella en synonymes juniors de Brachiella. ABSTRACT: Les deux sexes de Brachiella malayensis n. sp. sont décrits sur la base de spécimens trouvés dans les narines du Thazard rayé Scomberomorus commerson (Lacepède) collecté au large de Besut, en Malaisie. La femelle de cette espèce ressemble étroitement à celles de B. magna Kabata, 1968 et B. cybii Pillai, Prabha et Balaraman, 1982, mais se distingue principalement par la taille du corps et les proportions du céphalosome, les processus postérieurs et les rami caudaux. En examinant le mâle, nous avons remarqué une incohérence systématique dans certains genres de Lernaeopodidae. Le genre Brachiella Cuvier, 1830, représenté par son espèce-type Brachiella thynni Cuvier, 1830, et deux genres monotypiques Charopinopsis Yamaguti, 1963 et Eobrachiella Ho et Do, 1984, représentés par Charopinopsis quaternia (Wilson, 1935) et Eobrachiella elegans (Richiardi, 1880), respectivement, partagent des synapomorphies distinctes dans le maxillipède allongé (plutôt que pincé) et le tronc féminin avec une paire de longs processus cylindro-ventro-postérieurs (en plus d'une paire de rami caudaux modifiés), tous deux impliqués dans leur stratégie de reproduction unique. Les deux derniers genres sont ici relégués comme synonymes juniors de Brachiella.
Assuntos
Copépodes/anatomia & histologia , Copépodes/classificação , Perciformes/parasitologia , Animais , Feminino , Doenças dos Peixes/parasitologia , Malásia , Masculino , Cavidade Nasal/parasitologia , ReproduçãoRESUMO
Rhinonyssids are obligate haematophagous mites that parasitize the nasal cavity of vertebrates, and occur in a wide range of birds worldwide. Two species of nasal mites are known to occur in penguins: Rhinonyssus sphenisci, which has been recorded from Humboldt and Magellanic penguins (Spheniscus humboldti and S. magellanicus, respectively), and Rhinonyssus schelli, which has been recorded in Adélie and Gentoo penguins (Pygoscelis adeliae and P. papua, respectively). We examined the nasal cavity of African penguins (Spheniscus demersus) that died while under care at a rehabilitation centre (N = 40) or that were found dead at breeding colonies (N = 67). Nasal mites were found in the nasal cavity and/or paranasal of sinuses of 21 penguins, some of which had signs of mild-to-moderate sinusitis. Prevalence was higher in juveniles (29%) and adults (27%) than in chicks (10%). Mean intensity was 5.9 ± 12.9 mites per infected host (range 1-60). The mites presented morphological characteristics that were at times consistent with either R. sphenisci or R. schelli, and therefore we conservatively classified them as 'R. sphenisci sensu lato'. Our morphometric results raise the question of whether the specific status of R. schelli is justified.
Assuntos
Doenças das Aves/parasitologia , Infestações por Ácaros/veterinária , Cavidade Nasal/parasitologia , Doenças Nasais/veterinária , Spheniscidae/parasitologia , Animais , Doenças das Aves/epidemiologia , Distribuição de Qui-Quadrado , Espécies em Perigo de Extinção , Infestações por Ácaros/epidemiologia , Infestações por Ácaros/parasitologia , Ácaros/anatomia & histologia , Ácaros/classificação , Doenças Nasais/epidemiologia , Doenças Nasais/parasitologia , Prevalência , África do Sul/epidemiologiaRESUMO
BACKGROUND: An infestation of bot fly larvae causes myiasis which is known to cause respiratory symptoms in ruminants. There are reports of bot fly larvae in llamas, but to our knowledge there are no previous reports of nasal myiasis due to bot flies in alpacas ("Vicugna pacos"). CASE PRESENTATION: The following case report describes a neutered male alpaca showing sneezing and mild nasal discharge. Endoscopic examination of the upper respiratory tract revealed bot fly larvae in one nostril. After treatment with doramectin, there was no evidence of living bot fly larvae visible in the nostril. CONCLUSION: Bot fly larvae should be considered as a potential cause of respiratory symptoms in alpacas. In the present case, a treatment with doramectin was successful.
Assuntos
Camelídeos Americanos/parasitologia , Miíase/veterinária , Doenças Nasais/veterinária , Animais , Masculino , Miíase/tratamento farmacológico , Cavidade Nasal/parasitologia , Doenças Nasais/tratamento farmacológico , Resultado do TratamentoRESUMO
Abstract We report the occurrence and infection parameters of two species of nasal mites in Passer domesticus (Linnaeus, 1758) (house sparrow). Nasal passages, trachea, lungs, and air sacs of 100 house sparrows captured in an urban area at the city of Pelotas, State of Rio Grande do Sul, southern Brazil, were examined with a stereomicroscope. The mite, Sternostoma tracheacolum Lawrence, 1948 was present in the trachea and/or lungs (or both) of 13 birds (13%) at a mean intensity of 6.7 mites/infected host. Ptilonyssus hirsti (Castro & Pereira, 1947) was found in the nasal cavity of 1 sparrow (1%); coinfection was not observed in this bird. There was no significant difference in the prevalence and mean intensity of infection of S. tracheacolum between male and female birds. To our knowledge, this is the first study reporting the occurrence of S. tracheacolum in P. domesticus in Brazil and the presence of P. hirsti in P. domesticus from Rio Grande do Sul, Brazil. This is the first survey to provide the infection parameters of each of these mites in house sparrows.
Resumo O objetivo deste estudo foi relatar duas espécies de ácaros nasais parasitos do sistema respiratório de Passer domesticus (Linnaeus, 1758) (pardal) e seus respectivos índices parasitológicos. Para isso, foram examinados ao estereomicroscópio, cavidade nasal, traqueia, pulmão e sacos aéreos de 100 pardais capturados na área urbana de Pelotas, Rio Grande do Sul, Brasil. Sternostoma tracheacolum Lawrence, 1948 ocorreu na traqueia e/ou pulmão de 13 aves (13%) com intensidade média de 6,7 ácaros/hospedeiro infectado e Ptilonyssus hirsti (Castro & Pereira, 1947) na cavidade nasal de um único pardal (1%), não havendo coinfecção. A prevalência e intensidade média de infecção por S. tracheacolum entre hospedeiros machos e fêmeas não apresentou diferença significativa. Este relato caracteriza o primeiro registro de S. tracheacolum parasitando P. domesticus no Brasil e de P. hirsti em pardais no RS, Brasil, e seus respectivos índices de infecção.
Assuntos
Animais , Masculino , Feminino , Doenças das Aves/parasitologia , Pardais/parasitologia , Ácaros/classificação , Doenças das Aves/epidemiologia , Brasil/epidemiologia , Prevalência , Cavidade Nasal/parasitologiaRESUMO
Parasitological examination of the maya needlefish Strongylura hubbsi Collette (Belonidae) from the Rio Lacantún basin in the Montes Azules Biosphere Reserve, Chiapas, Mexico showed that specimens were parasitized by two monogenean species in two different sites: Paracolpenteron hubbsii n. gen., n. sp in the urinary bladder and Ancyrocephalus chiapanensis n. sp in the gill lamellae. Paracolpenteron hubbsii differs from other dactylogyrid species without a haptoral anchor/bar complex infecting the urinary systems, gills and nasal cavities by the general morphology of hooks, a dextral vaginal opening, a tubular male copulatory organ comprising a base from which a coiled shaft arises in counterclockwise direction, and an unarticulated Y-shaped accessory piece. Ancyrocephalus chiapanensis n. sp. resembles Ancyrocephalus cornutus William & Rogers, 1972 from the gills of Strongylura marina from Florida from which it differs in possessing a twisted tube of the male copulatory organ (curved in A. cornutus), ventral bar with cavities on the ends (cavities absent in A. cornutus) and by the size of the ventral (length 31-34 µm vs. 24-27 µm in A. cornutus) and dorsal (length 25-28 µm vs. 18-22 µm in A. cornutus) anchors. These new monogeneans are described herein and their biogeography is briefly discussed based on the previous phylogenetic hypotheses concerning the host family.
Assuntos
Beloniformes/parasitologia , Doenças dos Peixes/parasitologia , Brânquias/parasitologia , Trematódeos/isolamento & purificação , Infecções por Trematódeos/veterinária , Bexiga Urinária/parasitologia , Animais , Diagnóstico Diferencial , Feminino , Genitália Feminina , Genitália Masculina , Masculino , México/epidemiologia , Cavidade Nasal/parasitologia , Filogenia , Filogeografia , Trematódeos/anatomia & histologia , Trematódeos/classificação , Infecções por Trematódeos/parasitologiaRESUMO
We report the occurrence and infection parameters of two species of nasal mites in Passer domesticus (Linnaeus, 1758) (house sparrow). Nasal passages, trachea, lungs, and air sacs of 100 house sparrows captured in an urban area at the city of Pelotas, State of Rio Grande do Sul, southern Brazil, were examined with a stereomicroscope. The mite, Sternostoma tracheacolum Lawrence, 1948 was present in the trachea and/or lungs (or both) of 13 birds (13%) at a mean intensity of 6.7 mites/infected host. Ptilonyssus hirsti (Castro & Pereira, 1947) was found in the nasal cavity of 1 sparrow (1%); coinfection was not observed in this bird. There was no significant difference in the prevalence and mean intensity of infection of S. tracheacolum between male and female birds. To our knowledge, this is the first study reporting the occurrence of S. tracheacolum in P. domesticus in Brazil and the presence of P. hirsti in P. domesticus from Rio Grande do Sul, Brazil. This is the first survey to provide the infection parameters of each of these mites in house sparrows.
Assuntos
Doenças das Aves/parasitologia , Ácaros/classificação , Pardais/parasitologia , Animais , Doenças das Aves/epidemiologia , Brasil/epidemiologia , Feminino , Masculino , Cavidade Nasal/parasitologia , PrevalênciaRESUMO
Rhinosporidiosis is a communicable disease prevalent in tropical countries that affects one or more mucocutaneous sites such as the nasal cavity, pharynx, skin, bronchus, genitals, and bone, in isolation or together. We report a case of multicentric rhinosporidiosis involving the nasal cavity, oropharynx, larynx, and cheek skin without disseminated disease outside the head and neck. Although the appearance of mucocutaneous lesions in our patient was similar to that of papilloma or neoplasm, the distinct clinicopathologic characteristics of the rhinosporidiosis guided us in managing the case successfully. In our own experience with 11 patients with rhinosporidiosis on whom we operated over the past 5 years, the nasal cavity and pharynx were the most commonly involved sites in the head and neck. Surgical excision of all lesions along with cauterization of the base and long-term dapsone therapy is the current standard of care for multicentric rhinosporidiosis.
Assuntos
Rinosporidiose/patologia , Adulto , Bochecha/parasitologia , Feminino , Humanos , Laringe/parasitologia , Masculino , Cavidade Nasal/parasitologia , Pescoço/parasitologia , Doenças Faríngeas/parasitologia , Faringe/parasitologia , Estudos Retrospectivos , Rinosporidiose/terapiaRESUMO
Dactylogyridae is overwhelmingly the most abundant and diverse taxon among monogeneans in continental waters of South America. Their small body size requires considerable sampling effort and training for collecting and identifying the worms from the gills, skin, nasal cavities, and other microhabitats. Indeed, diagnostic characteristics as sclerites and male copulatory complex are generally less than 100-µm long and are essential for taxonomic description and identification of species. Here, a combination of simple and routine methods for three-dimensional morphological studies on hard structures is proposed for dactylogirids: SDS treatment for clarification of specimens and enzymatic digestion with proteinase K for freeing sclerotized structures, followed by laser confocal microscopy. This method is applicable to fresh or fixed specimens and does not require staining or dehydration. Indeed, stable autofluorescence emission is detectable at 500-530 nm for bars, anchors, and male copulatory complex when excited by argon laser. Advantages of this protocol over previous methodologies for taking laser confocal images are discussed. Open access software for image processing was used for three-dimensional reconstruction of sclerotized structures generating models and full 360° rotation videos.
Assuntos
Caraciformes/parasitologia , Doenças dos Peixes/parasitologia , Trematódeos/classificação , Infecções por Trematódeos/veterinária , Animais , Brânquias/parasitologia , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional/veterinária , Lagos , Masculino , Microscopia Confocal/veterinária , Cavidade Nasal/parasitologia , Rios , América do Sul , Trematódeos/isolamento & purificação , Trematódeos/ultraestrutura , Infecções por Trematódeos/parasitologiaRESUMO
The infection by Limnodrilus hoffmeisteri Claparède, 1862 (Oligochaeta: Tubificinae) in humans is relatively uncommon. The present report is to describe an incidental human infection with oligochaetes in the nasal cavity of a Chinese man, a 25-year-old man residing in Zhangjiakou city, Hebei province, China presenting with nose bleed, severe itching, continuous sneezing, and rhinorrhea. A lot of oligochaete worms were found in the nasal discharge of the patient. The detected worms were identified as Limnodrilus hoffmeisteri (Annelida: Oligochaeta) based on morphological and molecular characteristics. This incidental L. hoffmeisteri nasal infection is the first case in China and indicates that oligochaete worms can be encountered in humans.
Assuntos
Cavidade Nasal/parasitologia , Oligoquetos/crescimento & desenvolvimento , Doenças Parasitárias/diagnóstico , Doenças Parasitárias/patologia , Adulto , Animais , China , Análise por Conglomerados , DNA de Helmintos/química , DNA de Helmintos/genética , DNA Ribossômico/química , DNA Ribossômico/genética , DNA Espaçador Ribossômico/química , DNA Espaçador Ribossômico/genética , Humanos , Masculino , Microscopia , Oligoquetos/anatomia & histologia , Oligoquetos/classificação , Oligoquetos/genética , Doenças Parasitárias/parasitologia , Filogenia , RNA Ribossômico 18S/genética , Análise de Sequência de DNARESUMO
Triloculotrema euzeti n. sp. (Monogenea, Monocotylidae, Merizocotylinae) is described from the nasal tissues of the blackspotted smooth-hound Mustelus punctulatus collected from the coastal marine waters off Tunisia. The new parasite species is distinguished from the other two species of the genus, T. japanicae Kearn, 1993 and T. chisholmae Justine, 2009, by the morphology of the sclerotised male copulatory organ which has longitudinal ridges. The species is also characterised by its oötype with short descending and ascending limbs (long and more convoluted in the other two species). The presence of three peripheral loculi, which is the main characteristic of the genus Triloculotrema Kearn, 1993, is unconfirmed. This is the first description of a species of this genus in the Mediterranean Sea and the first record from a coastal shark.
Assuntos
Elasmobrânquios/parasitologia , Doenças dos Peixes/parasitologia , Platelmintos/isolamento & purificação , Infecções por Trematódeos/veterinária , Animais , Diagnóstico Diferencial , Doenças dos Peixes/diagnóstico , Mar Mediterrâneo , Microscopia Eletrônica de Varredura , Cavidade Nasal/parasitologia , Platelmintos/classificação , Platelmintos/ultraestrutura , Infecções por Trematódeos/diagnóstico , Infecções por Trematódeos/parasitologia , TunísiaAssuntos
Doenças do Cão/diagnóstico , Nematoides/isolamento & purificação , Infecções por Nematoides/veterinária , Animais , Doenças do Cão/parasitologia , Doenças do Cão/patologia , Cães , Feminino , Cavidade Nasal/parasitologia , Cavidade Nasal/patologia , Nematoides/citologia , Infecções por Nematoides/diagnóstico , Infecções por Nematoides/parasitologia , ÓvuloRESUMO
Eucoleus boehmi (syn. Capillaria boehmi) is a canine trichuroid nematode affecting the upper respiratory airways (i.e., nasal cavity and paranasal sinuses) of dogs, foxes, and wolves. In the past few years, reports in dogs and wild canids have increased from across Europe, but data on its occurrence and distribution in Austria is scanty. A total of 47 red foxes (Vulpes vulpes) from the two westernmost provinces (Tyrol and Vorarlberg) of Austria were therefore examined for the presence of E. boehmi at necropsy. Eggs and adult nematodes were identified morphologically and molecularly (cox1) as E. boehmi. These nematodes were found in 26 (78.8 %) and 13 (92.9 %) foxes from Tyrol and Vorarlberg, respectively, with an overall prevalence of 83.0 % (39/47). The prevalence rate of infection recorded in this study is among the highest in Europe. These results suggest that foxes may represent an important source of infection for dogs and other canids, but further studies are needed to elucidate the transmission dynamics.
Assuntos
Capillaria/isolamento & purificação , Infecções por Enoplida/parasitologia , Raposas/parasitologia , Animais , Áustria/epidemiologia , Capillaria/classificação , Capillaria/genética , Ciclo-Oxigenase 1/genética , Infecções por Enoplida/epidemiologia , Proteínas de Helminto/genética , Cavidade Nasal/parasitologia , PrevalênciaRESUMO
Nasal schistosomes are trematodes in the family Schistosomatidae, many members of which are causative agents of human cercarial dermatitis (HCD). Little is known about the species diversity and distribution of nasal dwelling schistosomes of water birds, particularly in countries outside of Europe; even less is known in countries like Iran. Nasal schistosomes are of particular interest since these species migrate via the central nervous system to the nasal cavity once they penetrate their host. Thus, there must be efforts to determine the incidence of HCD due to nasal schistosomes. HCD outbreaks are reported seasonally in Mazandaran Province, northern Iran, an area well known for rice cultivation leading to increased person contact with water and infected snails. Such places include favorable habitat for both domestic ducks year round, and wild migratory ducks in the winter through spring. Recent reports have detected the presence of both nasal and visceral schistosomes in ducks in this area but with little species characterization. In this study, we examine a diversity of aquatic birds to determine the distribution, prevalence and bird host use of nasal schistosomes. We apply for the first time a molecular identification and phylogenetic analysis of these schistosomes. From 2012 to 2014, the nasal cavity of 508 aquatic birds from Mazandaran Province were examined that included species in Anseriformes, Gruiformes, Charadriiformes and Phoenicopteriformes. Nasal schistosomes were found in 45 (8.9%) birds belonging to Anseriformes (Anas platyrhynchos and Anas clypeata). Phylogenetic analysis of the nuclear internal transcribed spacer 1 rDNA and the mitochondrial cytochrome oxidase1 gene of isolated eggs revealed that all samples grouped in a sister clade to the European Trichobilharzia regenti. However, Trichobilharzia from this study were more similar to a unique haplotype of Trichobilharzia, isolated from the nasals of an A. clypeata in France. The genetic and phenotypic differences between the species found herein and T. regenti from Europe, may prove with additional data to be a distinct species of Trichobilharzia.
Assuntos
Doenças das Aves/parasitologia , Patos/parasitologia , Cavidade Nasal/parasitologia , Filogenia , Schistosoma/classificação , Schistosomatidae/classificação , Infecções por Trematódeos/veterinária , Animais , Doenças das Aves/epidemiologia , Aves , DNA de Helmintos/genética , Complexo IV da Cadeia de Transporte de Elétrons/genética , Haplótipos , Humanos , Irã (Geográfico)/epidemiologia , Óvulo , Schistosoma/genética , Schistosoma/isolamento & purificação , Schistosomatidae/genética , Schistosomatidae/isolamento & purificação , Schistosomatidae/metabolismo , Caramujos/parasitologia , Infecções por Trematódeos/epidemiologia , Infecções por Trematódeos/parasitologiaRESUMO
We reported a case of adult Drosophila melanogaster parasitized in nasal cavity of a 81-year-old woman who was living in Xuancheng City, Anhui Province now. She was admitted for treatment of cerebral infarction and water accumulation in the lungs in 2014 June. The patient was also suffering from secretory otitis media, a history of hypertension and heart stents were placed in 2007. A foreign body was found in the left nasal cavity during the preoperative examination process, and then the part of the inflammatory tissue was removed through the nasal endoscopy, and sent to our department for identification. There are three adults of Drosophila in paraffin-embedded biopsy specimens. The parasites length is approximately 3mm, with huge red compound eyes. The end of the body is tip, with 5 ring lines in back, has no dark spots. The abdomen of the parasites have seven sections. Tarsus of foot I have no sex comb on base, and they are male adult of Drosophila melanogaster after identification. After a thorough reviewing of medical history, we knew the patient began to sneeze violently and frequently six years ago. But there was no clear or purulent nasal discharge flowing, therefore did not attract attention. After removing the parasites the sneezing symptoms were relieved, and had no abnormal symptoms in the follow-up 6 months.
Assuntos
Drosophila melanogaster/crescimento & desenvolvimento , Corpos Estranhos/diagnóstico , Corpos Estranhos/parasitologia , Cavidade Nasal/parasitologia , Idoso de 80 Anos ou mais , Animais , Endoscopia , Feminino , Humanos , MasculinoRESUMO
Nasal myiasis is a rare condition, with only a few reported cases and no treatment consensus. We propose a conservative treatment approach with saline irrigation and debridement. Two patients in the ICU of Norfolk General Hospital, a tertiary academic referral center, presented simultaneously with nasal myiasis. Both patients were negative for necrotic masses or tumors, and neither patient had any contributory medical comorbidities. Both patients were treated conservatively with a single dose of pyrantel pamoate, daily sinus irrigation with saline, and daily bedside endoscopic debridement. After 2 days, the nasal myiasis resolved, and both patients recovered without sequelae. We conclude that this conservative, nonsurgical approach to management is both safe and effective.