CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS

ABSTRACT Objective: To report the case of an infant with infrequent cranial osteomyelitis as a complication of furuncular myiasis. Case description: The patient was a 4-month-old male who presented to the emergency department with a nodular skull lesion with edema, tenderness, pain, and purulent...

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Main Authors: Nelson Muñoz, Sandra Galvis, Oscar Patiño, Carlos Moneriz
Format: Article
Language:English
Published: Sociedade de Pediatria de São Paulo 2021-02-01
Series:Revista Paulista de Pediatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100606&tlng=en
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author Nelson Muñoz
Sandra Galvis
Oscar Patiño
Carlos Moneriz
author_facet Nelson Muñoz
Sandra Galvis
Oscar Patiño
Carlos Moneriz
author_sort Nelson Muñoz
collection DOAJ
description ABSTRACT Objective: To report the case of an infant with infrequent cranial osteomyelitis as a complication of furuncular myiasis. Case description: The patient was a 4-month-old male who presented to the emergency department with a nodular skull lesion with edema, tenderness, pain, and purulent drainage, as well as progress of the ulcerated lesion and evidence of larvae inside. Antibiotic treatment was initiated, and the patient was taken to the operating room to remove the larvae, but he had no symptomatic improvement. A skull radiograph was taken to visualize the osteolytic lesion, and a 3D computed tomography scan showed osteomyelitis of the external parietal surface. Antibiotic management readjustment continued for a total of six weeks, and a skin flap was used with clinical improvement. Comments: Myiasis is defined as the infestation of vertebrates with fly larvae. In mammals, larvae can feed on host tissue and cause a wide range of infestations depending on their location in the body. The cranial osteomyelitis as a complication of myiasis described in this report seems to be an exceptional case.
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spelling doaj.art-d4da79238a83441d800c9294516b15452022-12-21T23:40:32ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622021-02-013910.1590/1984-0462/2021/39/2020105CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASISNelson Muñozhttps://orcid.org/0000-0002-0066-7302Sandra Galvishttps://orcid.org/0000-0003-0533-6315Oscar Patiñohttps://orcid.org/0000-0003-4742-4137Carlos Monerizhttps://orcid.org/0000-0002-0306-8049ABSTRACT Objective: To report the case of an infant with infrequent cranial osteomyelitis as a complication of furuncular myiasis. Case description: The patient was a 4-month-old male who presented to the emergency department with a nodular skull lesion with edema, tenderness, pain, and purulent drainage, as well as progress of the ulcerated lesion and evidence of larvae inside. Antibiotic treatment was initiated, and the patient was taken to the operating room to remove the larvae, but he had no symptomatic improvement. A skull radiograph was taken to visualize the osteolytic lesion, and a 3D computed tomography scan showed osteomyelitis of the external parietal surface. Antibiotic management readjustment continued for a total of six weeks, and a skin flap was used with clinical improvement. Comments: Myiasis is defined as the infestation of vertebrates with fly larvae. In mammals, larvae can feed on host tissue and cause a wide range of infestations depending on their location in the body. The cranial osteomyelitis as a complication of myiasis described in this report seems to be an exceptional case.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100606&tlng=enMyiasisOsteomyelitisLarvaeHypodermyiasis
spellingShingle Nelson Muñoz
Sandra Galvis
Oscar Patiño
Carlos Moneriz
CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
Revista Paulista de Pediatria
Myiasis
Osteomyelitis
Larvae
Hypodermyiasis
title CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
title_full CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
title_fullStr CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
title_full_unstemmed CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
title_short CRANIAL OSTEOMYELITIS AS A COMPLICATION OF FURUNCULAR MYIASIS
title_sort cranial osteomyelitis as a complication of furuncular myiasis
topic Myiasis
Osteomyelitis
Larvae
Hypodermyiasis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100606&tlng=en
work_keys_str_mv AT nelsonmunoz cranialosteomyelitisasacomplicationoffuruncularmyiasis
AT sandragalvis cranialosteomyelitisasacomplicationoffuruncularmyiasis
AT oscarpatino cranialosteomyelitisasacomplicationoffuruncularmyiasis
AT carlosmoneriz cranialosteomyelitisasacomplicationoffuruncularmyiasis