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Case Report: Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy.

Abstract

We describe a case of nasal myiasis in an 89-year-old Brazilian patient affected by leprosy with severe nasal sequelae. An initial treatment comprising sinusectomy combined with nasal endoscope removed more than 300 larvae, supplemented by systemic treatment using oral and topical ivermectin and levofloxacin. Infestation recurred after 2 months, was treated similarly, and resolved completely. The case could be attributed to severe nasal leprosy sequelae, with a lack of sneezing reflex, painless ulceration, atrophic rhinitis ozenosa, and inability to clean the nose properly due to hand and nose impairment. This case illustrates the importance of long-term medical follow-up of patients with leprosy sequelae.

Authors+Show Affiliations

Department of Social Medicine, Infectious Diseases Unit, Federal University of Espírito Santo, Vitória, Brazil.Department of Social Medicine, Infectious Diseases Unit, Federal University of Espírito Santo, Vitória, Brazil.Radiology Service, Federal University of Espírito Santo, Vitória, Brazil.National Infection Service, Public Health England, London, United Kingdom.Department of Social Medicine, Infectious Diseases Unit, Federal University of Espírito Santo, Vitória, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31802737

Citation

Serafim, Rachel Azevedo, et al. "Case Report: Nasal Myiasis in an Elderly Patient With Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy." The American Journal of Tropical Medicine and Hygiene, 2019.
Serafim RA, do Espírito Santo RB, Mello R, et al. Case Report: Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy. Am J Trop Med Hyg. 2019.
Serafim, R. A., do Espírito Santo, R. B., Mello, R., Collin, S. M., & Deps, P. D. (2019). Case Report: Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy. The American Journal of Tropical Medicine and Hygiene, doi:10.4269/ajtmh.19-0708.
Serafim RA, et al. Case Report: Nasal Myiasis in an Elderly Patient With Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy. Am J Trop Med Hyg. 2019 Dec 2; PubMed PMID: 31802737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case Report: Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy. AU - Serafim,Rachel Azevedo, AU - do Espírito Santo,Rachel Bertolani, AU - Mello,Ricardo, AU - Collin,Simon M, AU - Deps,Patrícia Duarte, Y1 - 2019/12/02/ PY - 2019/12/6/entrez PY - 2019/12/6/pubmed PY - 2019/12/6/medline JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. N2 - We describe a case of nasal myiasis in an 89-year-old Brazilian patient affected by leprosy with severe nasal sequelae. An initial treatment comprising sinusectomy combined with nasal endoscope removed more than 300 larvae, supplemented by systemic treatment using oral and topical ivermectin and levofloxacin. Infestation recurred after 2 months, was treated similarly, and resolved completely. The case could be attributed to severe nasal leprosy sequelae, with a lack of sneezing reflex, painless ulceration, atrophic rhinitis ozenosa, and inability to clean the nose properly due to hand and nose impairment. This case illustrates the importance of long-term medical follow-up of patients with leprosy sequelae. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/31802737/Case_Report:_Nasal_Myiasis_in_an_Elderly_Patient_with_Atrophic_Rhinitis_Ozenosa_and_Facial_Sequelae_of_Leprosy L2 - http://www.ajtmh.org/content/journals/10.4269/ajtmh.19-0708?crawler=true&mimetype=application/pdf DB - PRIME DP - Unbound Medicine ER -