Management of oral myiasis: A rare entity


Cerebral palsy
Maggots infestation

How to Cite

Puppala, R. ., Kethineni, B., Chowdary Birapu, U. K., Goliya, S., Kumar, R., & Grace, E. L. (2021). Management of oral myiasis: A rare entity. Journal of Kathmandu Medical College, 9(4), 228–233. Retrieved from


Myiasis is one of the foremost daunting parasitic infestations. Although pandemic, it is more often found in tropical and subtropical countries where poor hygiene, poor housing infrastructure, warm humid climate and proximity to domestic animals prevail. Mostly it occurs secondary to serious medical conditions such as cerebral palsy, cancerous lesions.
Although many treatment protocols are available, the standard treatment focuses on antibiotic therapy concomitantly with mechanical removal of larvae and necrotic tissues. This is a case of intraoral myiasis in a twenty-year old female patient with cerebral palsy that was managed using the suffocation approach and mechanical debridement.



de Arruda JAA, de Silva LVO, Silva PUJ, de Figueiredo EL, Callou G, Mesquita RA, et al. Head and neck myiasis: a case series and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Nov 1;124(5):e249-56. [PubMed]

Laurence SM. Dipterous larvae infection. BMJ. 1909;9:88.

Hassona Y, Scully C, Aguida M, de Almeida OP. Flies and the mouth. J Investig Clin Dent. 2014 May;5(2):98-103. [DOI]

Droma EB, Wilamowski A, Schnur H, Yarom N, Scheuer E, Schwartz E. Oral myiasis: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jan;103(1):92-6. [PubMed]

Sankari LS, Ramakrishnan, K. Oral myiasis caused by Chrysomya bezziana. J Oral Maxillofac Pathol. 2010 Jan-Jun; 14(1): 16–18. [DOI]

Villwock JA, Harris TM. Head and neck myiasis, cutaneous malignancy, and infection: a case series and review of the literature. J Emerg Med. 2014 Aug;47(2):e37-41. [PubMed]

Hubler WR, Rudolph AH, Dougherty EF. Dermal myiasis. Arch Dermatol. 1974 Jul 1;110(1):109-10. [DOI]

Natural History Museum. Introduction to myiasis. Available from: myiasis-larvae/intro-myiasis/index.html [DOI]

Kumar P, Srikumar G. Oral myiasis in a maxillofacial trauma patient. Contemp Clin Dent 2012;3:202-4 [DOI]

Saravanan T, Mohan MA, Thinakaran M, Ahammed S. Oral myiasis..Indian J Palliat Care. 2015 Jan-Apr; 21(1): 92–94. [DOI]

Sunny B, Sulthana L, James A, Sivakumar T. Maggot Infestation: Various Treatment Modalities. J Amer College Clin Wound Specialists 2018 Mar 30;8(1- 3):51-3. [PubMed]

Romano C, Albanese G, Gianni C. Emerging imported parasitoses in Italy. Eur J Dermatol. 2004 JanFeb;14(1):58-60. [PubMed]

Antunes AA, de Santana Santos T, Avelar RL, Neto EC, Neres BM, Laureano Filho JR. Oral and maxillofacial myiasis: a case series and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):e81-5. [PubMed]

Kumar P, Singh V. Oral myiasis: case report and review of literature. Oral Maxillofac Surg. 2014 Mar;18(1):25- 9. [PubMed]

Ali FM, Patil K, Kar S, Patil AA, Ahamed S. Oral myiasis affecting gingiva in a child patient: an uncommon case report. Case Rep Dent. 2016;2016:2197450. [DOI]

Pereira T, Tamgadge AP, Chande MS, Bhalerao S, Tamgadge S. Oral myiasis. Contemp Clin Dent. 2010 Oct-Dec; 1(4): 275–6. [DOI]

Bhatt AP, Jayakrishnan AM. Oral myiasis: a case report. Int J Paediatr Dent. 2000 Mar;10(1):67-70. [PubMed]

Hakimi R, Yazdi I. Oral mucosa myiasis caused by Oestrus ovis. Arch Iran Med. July 2002 :5(3); 194-6. [DOI]

Jang M, Ryu SM, Kwon SC, Ha JO, Kim YH, Kim DH, et al. A case of oral myiasis caused by Lucilia sericata (Diptera: Calliphoridae) in Korea. Korean J Parasitol. 2013 Feb;51(1):119-23. [PubMed]

Ogbalu OK, Achufusi TG, Adibe C. Incidence of multiple myiases in breasts of rural women and oral infection in infants from the human warble fly larvae in the humid Tropic?Niger Delta. Int J Dermatol. 2006 Sep;45(9):1069-70. [PubMed]

Rey L. Parasitologia. 2nd edition. Rio de Janeiro: Editora Guanabara Koogan; 1991.

Ribeiro FA, Pereira CS, Alves A, Marcon MA. Treatment of human cavitary myiasis with oral ivermectin. Rev Bras Otorrinolaringol. 2001;67,755- 61. [DOI]

Blejter J. Tracheostomy wound myiasis in a child: case report and review of the literature. Case Rep Pediatr. 2012; 2012: 317862. [PubMed]

Kumar SL, Manuel S, John TV, Sivan MP. Extensive gingival myiasis-Diagnosis, treatment, and prevention. J Oral Maxillofac Pathol. 2011 Sep;15(3):340-3. [PubMed]

Khan AA, Shah KM. Primary oral myiasis: a clinical presentation in cerebral palsy. Int J Case Rep Imag Title. 2013 Oct 25;4(2):95-8. [Full text]

Erfan F. Gingival myiasis caused by Diptera (sarcophaga). Oral Surg Oral Med Oral Pathol. 1980 Feb;49(2):148-50. [PubMed]

Gomez RS, Perdigão PF, Pimenta FJ, Leite AR, de Lacerda JT, Neto AC. Oral myiasis by screwworm Cochliomyia hominivorax. Br J Oral Maxillofac Surg. 2003 Apr;41(2):115-6. [PubMed]

Aguiar AM, Enwonwu CO, Pires FR. Noma (cancrum oris) associated with oral myiasis in an adult. Oral Dis. 2003 May;9(3):158-9. [PubMed]

Lata J, Kapila BK, Aggarwal P. Oral myiasis: a case report. Int. J. Oral Maxillofac Surg. 1996 Dec;25(6):455-6. [PubMed]

de Souza Barbosa T, SalvittiSá Rocha RA, Guirado CG, Rocha FJ, Gavião MB. Oral infection by Diptera larvae in children: a case report. Int J Dermatol. 2008 Jul;47(7):696-9. [PubMed]

Abdo EN, Sette-Dias AC, Comunian CR, Dutra CE, Aguiar EG. Oral myiasis: A case report. Med Oral Patol Oral Cir Bucal. 2006 Mar 1;11(2):E130-1. PMID:16505789 [PubMed]

Rossi-Schneider T, Cherubini K, Yurgel LS, Salum F, Figueiredo MA. Oral myiasis: a case report. J Oral Sci. 2007 Mar;49(1):85-8. [PubMed]

Gealh WC, Ferreira GM, Farah GJ, Teodoro U, Camarini ET. Treatment of oral myiasis caused by Cochliomyiahominivorax: two cases treated with ivermectin. Br J Oral Maxillofac Surg. 2009 Jan 1;47(1):23-6. [PubMed]

Joo CY, Kim JB. Nosocomial submandibular infections with dipterous fly larvae. Korean J Parasitol. 2001 Sep;39(3):255-60. [PubMed]

Greenberg B. Two cases of human myiasis caused by Phaenicia sericata (Diptera: Calliphoridae) in Chicago area hospitals. J Med Entomol. 1984 Sep 28;21(5):615. [PubMed]

Srivastava R, Devi P, Thimmarasa VB, Jayadev S. Flies blown disease-Oral myiasis. Indian J Dent Res. 2011 Jul 1;22(4):615. [DOI]

Ramli R, Rahman RA. Oral myiasis: Case report. Malays J Med Sci. 2002 Jul; 9(2): 47–50. [PubMed]

Moshref M, Ansari G, Lotfi A. Oral gingival myiasis: a case report. Int J Tropic Med.2008;3(4):97-100. [DOI]

Felices RR, Ogbureke KU. Oral myiasis: report of case and review of management. J Oral Maxillofac Surg. 1996 Feb;54(2):219-20. [PubMed]

Ng KH, Yip KT, Choi CH, Yeung KH, Auyeung TW, Tsang AC, et al. A case of oral myiasis due to Chrysomya bezziana. Hong Kong Med J. 2003 Dec;9(6):454-6. [PubMed]

Wu CJ, Chang TS, Chu ST. Nasal myiasis in a bedridden patient and literature review. J Med Sci. 2012;32(1):39-41. [Full text]

Sikder M, Pradhan L, Ferdousi F, Parvin M. Oral myiasis: a case report. Bangladesh Journal of Medical Science.2011; 10(3):206-208. [DOI]

Shinohara EH, Martini MZ, Oliveira Neto HG, Takahashi A. Oral myiasis treated with ivermectin: case report. Braz Dent J. 2004;15(1):79-81. [PubMed]

MacNamara A, Durham S. Dermatobia hominis in the accident and emergency department:” I’ve got you under my skin”. J Accid Emerg Med. 1997 May;14(3):179-80. [PubMed]

Al?Ismaily M, Scully C. Oral myiasis: report of two cases. Int J Paediatr Dent. 1995 Sep;5(3):177-9. [PubMed]

Singla V. Oral myiasis—a case report. J Oral Maxillofac Surg. 2013 Sep;71(9):1555.e1-4. [DOI]