Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana
Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitali...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.955212/full |
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| author | Britt Nakstad Britt Nakstad Yeni Zandile Kesiilwe Gaebolae Francis Msume Banda Tebo Dinotshe Fizzah Imran Alemayehu Mekonnen Gezmu |
| author_facet | Britt Nakstad Britt Nakstad Yeni Zandile Kesiilwe Gaebolae Francis Msume Banda Tebo Dinotshe Fizzah Imran Alemayehu Mekonnen Gezmu |
| author_sort | Britt Nakstad |
| collection | DOAJ |
| description | Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitalized neonate in Botswana that resulted in vision loss. The neonate, who was initially hospitalized due to the complications of prematurity, received phototherapy for jaundice, and to avoid phototherapy-related retinopathy, the neonate’s eyes were covered using cotton gauze and adhesive tapes that potentially damaged the skin as commercially available eye covering was not in stock. Therefore, eye covering was not changed and when the eye covering was removed almost 3 days after placement, insect larvae were noted in the patient’s eyes and nose. Ophthalmologic evaluation revealed perforated corneal ulcer and uveal prolapse in the right eye resulting in complete blindness and corneal scarring of the left eye. The patient’s clinical course was further complicated by an Enterobacter species bloodstream infection. This case highlights the importance of vector control as a major patient safety measure for neonatal units in warm climates. Flies had been observed in the room and mitigation measures included reducing fly populations through traps, screens, and removal of standing water and leftover food. Every mother and staff were sanitizing hands when entering the room and gowns were used. This case also reinforces the importance to conduct vigilant monitoring of patients, especially neonates with eyes covered during phototherapy. |
| first_indexed | 2024-04-12T18:06:12Z |
| format | Article |
| id | doaj.art-5fa9953cc0264719b30332a0e152e1a4 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-12T18:06:12Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-5fa9953cc0264719b30332a0e152e1a42022-12-22T03:21:58ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.955212955212Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from BotswanaBritt Nakstad0Britt Nakstad1Yeni Zandile2Kesiilwe Gaebolae3Francis Msume Banda4Tebo Dinotshe5Fizzah Imran6Alemayehu Mekonnen Gezmu7Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaDivision Paediatric Adolescent Medicine, Inst Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, NorwayDepartment of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaDepartment of Ophthalmology, Princess Marina Hospital, Gaborone, BotswanaDepartment of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaDepartment of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaDepartment of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaDepartment of Paediatrics and Adolescent Health, University of Botswana, Gaborone, BotswanaMyiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitalized neonate in Botswana that resulted in vision loss. The neonate, who was initially hospitalized due to the complications of prematurity, received phototherapy for jaundice, and to avoid phototherapy-related retinopathy, the neonate’s eyes were covered using cotton gauze and adhesive tapes that potentially damaged the skin as commercially available eye covering was not in stock. Therefore, eye covering was not changed and when the eye covering was removed almost 3 days after placement, insect larvae were noted in the patient’s eyes and nose. Ophthalmologic evaluation revealed perforated corneal ulcer and uveal prolapse in the right eye resulting in complete blindness and corneal scarring of the left eye. The patient’s clinical course was further complicated by an Enterobacter species bloodstream infection. This case highlights the importance of vector control as a major patient safety measure for neonatal units in warm climates. Flies had been observed in the room and mitigation measures included reducing fly populations through traps, screens, and removal of standing water and leftover food. Every mother and staff were sanitizing hands when entering the room and gowns were used. This case also reinforces the importance to conduct vigilant monitoring of patients, especially neonates with eyes covered during phototherapy.https://www.frontiersin.org/articles/10.3389/fped.2022.955212/fullpreterm neonateophthalmomyiasisblindnessjaundiceeye-covering during phototherpy |
| spellingShingle | Britt Nakstad Britt Nakstad Yeni Zandile Kesiilwe Gaebolae Francis Msume Banda Tebo Dinotshe Fizzah Imran Alemayehu Mekonnen Gezmu Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana Frontiers in Pediatrics preterm neonate ophthalmomyiasis blindness jaundice eye-covering during phototherpy |
| title | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
| title_full | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
| title_fullStr | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
| title_full_unstemmed | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
| title_short | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana |
| title_sort | ophthalmomyiasis in a preterm neonate resulting in blindness a case report from botswana |
| topic | preterm neonate ophthalmomyiasis blindness jaundice eye-covering during phototherpy |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.955212/full |
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