Amazing medical case ⚠️
⚠️ A 62-year-old male patient presented with two-day history of growth in the anterior palate and fetid odor. Patient was under treatment for schizophrenia for 30 years. Examination revealed a necrotic growth in the anterior palate with live maggots coming out of it through several orifices. The growth was covered by pseudo-membranous slough. Missing 21 was noticed and the growth extended through the empty socket to the labial gingival in relation to 21. The patient presented with poor oral hygiene and advanced periodontal disease. Based upon the history and presence of maggots, provisional diagnosis of oral myiasis was made. The larvae were sent to the laboratory and were identified as the fly Musca Nebulo. Computed tomography of the oral cavity ruled out bony involvement. Hematological and biochemical investigations were within normal limits. Cotton gauze impregnated with turpentine liniment was placed over the lesion for approximately 10 min and about 35-40 maggots were manually removed with the help of tissue-holding forceps. The same procedure was repeated for four more days and oral therapy with a macrolide antibiotic was advised. After the complete larvae removal the wounds were healing normally. Subsequent management of periodontal disease was done. Credit: Atul P. Sattur, Department of Oral Medicine and Radiology, S.D.M. College of Dental Sciences and Hospital, Dharwad, India
