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#1
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06-19-2012, 02:30 PM
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 My Rank: CORPORAL Poster Rank:1595 Female Join Date: Jul 2009 Posts: 348 Mentioned: 0 Post(s) Quoted: 28 Post(s)
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Maggots... Everywhere!
 An 81-year-old female was brought to our department with the chief complaint being "bugs coming out of the mouth since past 3-4 days." She appeared undernourished and revealed no contributary medical history. Her vitals and routine blood examination results were well within acceptable limits. She had a Class II overjet making the lips incompetent . Clinical examination revealed poor oral hygiene, foul odor and advanced periodontitis. A huge pocket with a hollow space was seen on the palatal aspect of the protruded incisor teeth. On closer examination, the tunnel-shaped orifice had deeper areas showing pulsatile movements probably due to the movement of larvae. The adjacent gingiva appeared erythematous and necrotic. The interdental areas of the adjacent mobile teeth revealed several additional orfices with larvae showing wriggling movement. Provisional diagnosis of gingival myiasis was arrived at correlating the history and clinical examination findings. The treatment plan aimed at encouraging the larvae to come out of the area. A cotton pellet soaked in turpentine oil was applied a few times and wound surgically explored. Larvae were then grasped and manually removed with the help of tweezers. Over 60 maggots were removed on the first day . Further supportive care was given on an inpatient basis. Larvae were removed daily manually as described above. On the third day, when the infection was controlled, mobile teeth were extracted and the wound was debrided of necrotic tissue. The involved site was examined for any remaining larvae before it was sutured with 3-0 silk. The patient was evaluated the next day, and discharged from care on showing significant improvement in her condition. One week follow-up showed good healing .      Last but not least: Prolapsed rectum with maggots.  |
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#2
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06-19-2012, 03:26 PM
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 My Rank: LANCE CORPORAL Poster Rank:3083 Join Date: Jan 2010 Posts: 125 Mentioned: 0 Post(s) Quoted: 0 Post(s)
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Re: Maggots... Everywhere!
 disgusting! how can someone tolerate having maggots in their mouth? not to forget having them in your bum. ugh.
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