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Ivermectin treatment for massive orbital myiasis in an empty socket with concomitant scalp pediculosis.

Puthran N, Hegde V, Anupama B, Andrew S - Indian J Ophthalmol (2012 May-Jun)

Bottom Line: We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis.The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery.Ivermectin was also effective in managing the concurrent scalp pediculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Yenepoya Medical College, Mangalore, India.

ABSTRACT
We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis. The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery. Ivermectin was also effective in managing the concurrent scalp pediculosis.

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Related in: MedlinePlus

Healing of lids after treatment with ivermectin
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Figure 5: Healing of lids after treatment with ivermectin

Mentions: The patient was administered a single oral dose of 12 mg of ivermectin, following which she had a dramatic relief from pain. 1% ivermectin drops prepared by dissolving the tablet in distilled water was additionally instilled four times a day in the right orbit for a week. Dead maggots were easily removed and rapid wound healing ensued. The patient was discharged with a healthy socket [Figs. 5 and 6] and a louse-free head. At final count, over a hundred maggots were removed, varying from 10 to 15 mm in size. The parent fly could not be identified.


Ivermectin treatment for massive orbital myiasis in an empty socket with concomitant scalp pediculosis.

Puthran N, Hegde V, Anupama B, Andrew S - Indian J Ophthalmol (2012 May-Jun)

Healing of lids after treatment with ivermectin
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3361823&req=5

Figure 5: Healing of lids after treatment with ivermectin
Mentions: The patient was administered a single oral dose of 12 mg of ivermectin, following which she had a dramatic relief from pain. 1% ivermectin drops prepared by dissolving the tablet in distilled water was additionally instilled four times a day in the right orbit for a week. Dead maggots were easily removed and rapid wound healing ensued. The patient was discharged with a healthy socket [Figs. 5 and 6] and a louse-free head. At final count, over a hundred maggots were removed, varying from 10 to 15 mm in size. The parent fly could not be identified.

Bottom Line: We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis.The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery.Ivermectin was also effective in managing the concurrent scalp pediculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Yenepoya Medical College, Mangalore, India.

ABSTRACT
We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis. The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery. Ivermectin was also effective in managing the concurrent scalp pediculosis.

Show MeSH
Related in: MedlinePlus