Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin?
An 84-year-old female presented with multiple maggots crawling out of a large fungating left orbital mass. Computed tomography scan showed a heterogeneously enhancing mass arising from the left orbit surrounding the eyeball, displacing it laterally. Two days treatment with use of turpentine, betadin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Journal of Clinical Ophthalmology and Research |
| Subjects: | |
| Online Access: | http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=3;spage=139;epage=142;aulast=Mansukhani |
| _version_ | 1811269259847794688 |
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| author | Sasha A Mansukhani Anjali D Nicholson Anamika H Agrawal Faraaz S Hussain |
| author_facet | Sasha A Mansukhani Anjali D Nicholson Anamika H Agrawal Faraaz S Hussain |
| author_sort | Sasha A Mansukhani |
| collection | DOAJ |
| description | An 84-year-old female presented with multiple maggots crawling out of a large fungating left orbital mass. Computed tomography scan showed a heterogeneously enhancing mass arising from the left orbit surrounding the eyeball, displacing it laterally. Two days treatment with use of turpentine, betadine, hydrogen peroxide, and local removal was unsuccessful as the maggots would escape into depths of the orbit and crevices of the mass. A trial of 12 mg dose of ivermectin daily was given. After the first dose of the drug, the maggots were easier to remove manually. The orbit was maggot-free by the 2nd day. Ivermectin is of benefit in cases where conventional removal fails due to inaccessible worms. In view of its low cost and low side-effects profile, it can be explored as a first-line treatment along with manual removal. |
| first_indexed | 2024-04-12T21:38:55Z |
| format | Article |
| id | doaj.art-6b2838b94b034625b33300c68b7a4c13 |
| institution | Directory Open Access Journal |
| issn | 2320-3897 |
| language | English |
| last_indexed | 2024-04-12T21:38:55Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Ophthalmology and Research |
| spelling | doaj.art-6b2838b94b034625b33300c68b7a4c132022-12-22T03:15:49ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972017-01-015313914210.4103/2320-3897.216430Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin?Sasha A MansukhaniAnjali D NicholsonAnamika H AgrawalFaraaz S HussainAn 84-year-old female presented with multiple maggots crawling out of a large fungating left orbital mass. Computed tomography scan showed a heterogeneously enhancing mass arising from the left orbit surrounding the eyeball, displacing it laterally. Two days treatment with use of turpentine, betadine, hydrogen peroxide, and local removal was unsuccessful as the maggots would escape into depths of the orbit and crevices of the mass. A trial of 12 mg dose of ivermectin daily was given. After the first dose of the drug, the maggots were easier to remove manually. The orbit was maggot-free by the 2nd day. Ivermectin is of benefit in cases where conventional removal fails due to inaccessible worms. In view of its low cost and low side-effects profile, it can be explored as a first-line treatment along with manual removal.http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=3;spage=139;epage=142;aulast=MansukhaniIvermectinmaggotsorbital myiasis |
| spellingShingle | Sasha A Mansukhani Anjali D Nicholson Anamika H Agrawal Faraaz S Hussain Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? Journal of Clinical Ophthalmology and Research Ivermectin maggots orbital myiasis |
| title | Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? |
| title_full | Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? |
| title_fullStr | Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? |
| title_full_unstemmed | Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? |
| title_short | Orbital myiasis presenting in a patient with fungating squamous cell carcinoma: Is there a role for ivermectin? |
| title_sort | orbital myiasis presenting in a patient with fungating squamous cell carcinoma is there a role for ivermectin |
| topic | Ivermectin maggots orbital myiasis |
| url | http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=3;spage=139;epage=142;aulast=Mansukhani |
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