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Rare disease
Case report
Grub in the mouth: an unusual case with review of literature
  1. Madhusudan Astekar1,
  2. Sowmya Vishnurao Gujjar2,
  3. Himanshu Upadhyay3 and
  4. Himani Upadhyay4
  1. 1Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Bareilly, India
  2. 2Department of Oral Medicine and Radiology, Institute of Dental Sciences, Bareilly, India
  3. 3Department of Oral and Maxillofacial Surgery, Dental Implant and Maxillofacial Surgery Centre, Etah, India
  4. 4Department of Periodontology, Dental Implant and Maxillofacial Surgery Centre, Etah, India
  1. Correspondence to Professor Madhusudan Astekar; madhu.tanu{at}gmail.com

Abstract

Oral myiasis is a rare disease, identified primarily in non-industrialised nations. It is caused fundamentally by the attack of larvae from Dipteran flies on the human tissues. Predisposing factors for oral myiasis are extraction wounds, destitute oral cleanliness, meagreness, mouth breathing amid rest, suppurative injuries, necrotic tissues, diabetes and perivascular infections primarily within the elderly, extreme halitosis, alcohol addiction, cerebral paralysis and components that favour prolonged mouth opening. Myiasis may have predilection to patients with mental challenges, cerebral palsy and hemiplegia due to unfortunate physical agility. The present case reports an oral myiasis in a 25-year-old woman who was mentally challenged. This condition was treated by topical application of turpentine oil with manual expulsion of hatchlings, taken after by surgical debridement and wide range antimicrobials.

  • cerebral palsy
  • hemiplegia
  • insects
  • larva
  • myiasis
  • maggot
  • oral

https://doi.org/10.1136/bcr-2020-234818

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    Footnotes

    • Contributors SGV: concept, design and definition of intellectual content, data acquisition and data analysis. HimanshuU and HimaniU: literature search. MA: manuscript preparation, editing and review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.