myiasis syn : blow/bot/fly-strike
TRANSCRIPT
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MYIASIS
Syn : Blow/Bot/Fly-Strike
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Introduction
• Gk : “Muia” – Fly ; Scot: ‘Boateig’ – Maggot ; Blow – to deposit ; Screw – spinous horny projections
• infestation of body tissues of humans and animals by the larvae (maggots) of Diptera –Frederich William Hope (1840)
• 02 groups (based on Myasis-causation) :Obligatory (Larval Stage in Mammalian body)Facultative (Decaying flesh, Wound)
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Clinical classification (ICD-10)
• DERMAL / SUB-DERMAL
• CUTANEOUS– Creeping
– Furuncular
– Traumatic
• NASOPHARYNGEAL
• OPHTHALMOMYIASIS
• AURICULAR
• INTESTINAL
• UROGENITAL
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ETIOLOGY
Muscidae (Wound Myiasis / Accidental)-Musca domestica (Housefly)-Fannia canicularis (lesser / latrine housefly)
Calliphoridae (blowflies – Metallic / Non-metallic)
• Cochliomyia (NW Screwworm)• Chrysomyia (OW Screwworm)• Cordylobia (Tumbu fly / Sahara fly)• Auchmeromyia (Senegal Sucker/Congo floor m.)• Calliphora (Bluebottle)• Lucilia (Phaenicia) (Greenbottle) - MDT (Serricata)• Phormia (Black blowfish)
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Sarcophagidae: (Flesh flies)
-Sarcophaga
-Wohlfahrtia
Oestridae
-Dermatobia (human botfly) FM
-Gasterophilus (horse botfly) GI
-Oestrus (Sheep nostril fly) NP
-Hypoderma (Warble heel fly) ?HES
Cuterebra (Rabbit-rodent botfly)
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• aa
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CLINICAL FEATURES
FACULTATIVE / TRAUMATIC WOUND MYIASIS
Eggs / Larvae in suppurating tissuesCalliphora, Lucilia, Phormia, Sarcophaga
OBLIGATORY CUTANEOUS MYIAISIS
CREEPING ERUPTIONSFURUNCULAR MYIASISCordylobia, Cochliomyia, Dermatobia, Hypoderma, Gastrophilus, Oestrusassoc with HES / Constt symptoms ; Exposed areas
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Traumatic Myiasis
• aa
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Furuncular Myiasis
Insiduous, tender boilscentral punctumSerosanguinous discharge
posterior end of the larva,Spiracles visible in punctum
Lymphangitis , regional LAN
Rapid resolution on removal of larva
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Creeping Eruptions
Resembles cutaneous larva migrans
tortuous, thread-like red line with terminal vesicle marks the passage of the larva
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• aa
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• aa
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TREATMENT
Wound myiasis
debridement and irrigation (Chloroform,
Turpentine guaze, Ether, Paraffin, Eusol)
treatment of secondary infections
Mechanical Forceps Extraction
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Furuncular myiasistraditional methods: pork fat, mineral oil, petrolatum, butter, beeswax, cigarette ash, chewing gum
surgical (I & D Extraction)
Creeping EruptionsExtraction beyond the vesicle
Ethyl Chloride freeze
Ivermectin 12mg PO stat ; Albendazole 400mg
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THANK YOU