A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)

Abstract Background Dental injury caused by caries and trauma is the main cause of residual roots. Food trapped in the residual roots is difficult to clean. If the residual roots are not treated and cared for in time, flies can take advantage as soon as hygiene slips. Here, we present a rare case of...

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Main Authors: Juan Chen, Jinrui Liu, Yun Liu, Yingjie Liu
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-022-07325-2
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author Juan Chen
Jinrui Liu
Yun Liu
Yingjie Liu
author_facet Juan Chen
Jinrui Liu
Yun Liu
Yingjie Liu
author_sort Juan Chen
collection DOAJ
description Abstract Background Dental injury caused by caries and trauma is the main cause of residual roots. Food trapped in the residual roots is difficult to clean. If the residual roots are not treated and cared for in time, flies can take advantage as soon as hygiene slips. Here, we present a rare case of human residual root myiasis caused by Clogmia albipunctata larvae, never previously reported. Case presentation A 26-year-old lady found two active, living larvae in her mouth while brushing her teeth. She did not present with fever, pain and any uncomfortable oral feeling. The intraoral examination revealed the right second mandibular molar was severely damaged as a result of caries, leaving a residual tooth root. The mucosa above it was mildly erythematous and edematous. No larvae and no inflamed gums were observed in her mouth. When normal saline was used to flush the area of the residual root with a syringe, four larvae appeared from the residual root. The larvae were observed by naked eye and under a light microscope. They were identified as the mature stage larvae of Clogmia albipunctata. Because the patient was in lactation, medication was not recommended. Treatment included the removal of all visible larvae followed by flushing the residual root with normal saline three times a day. The patient was followed-up weekly for one month. No more larvae were found and the erythematous and edematous mucosa healed completely. Conclusions The existence of a residual root can result in residual root myiasis. Myiasis caused by Clogmia albipunctata larvae or other fly larvae should be considered in cases of residual root infection.
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spelling doaj.art-ff067cd7577c4f53878c3aa0e84e7b332022-12-22T02:55:57ZengBMCBMC Infectious Diseases1471-23342022-04-012211410.1186/s12879-022-07325-2A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)Juan Chen0Jinrui Liu1Yun Liu2Yingjie Liu3Department of Pathogenic Biology, SchoolofBasicMedicalSciences, Henan UniversityGrade 2021, The Special Class for the Gifted Young, Xi’an Jiaotong UniversityDepartment of Inorganic Chemistry, College of Chemistry and Chemical Engineering, Henan UniversityDepartment of Pathogenic Biology, SchoolofBasicMedicalSciences, Henan UniversityAbstract Background Dental injury caused by caries and trauma is the main cause of residual roots. Food trapped in the residual roots is difficult to clean. If the residual roots are not treated and cared for in time, flies can take advantage as soon as hygiene slips. Here, we present a rare case of human residual root myiasis caused by Clogmia albipunctata larvae, never previously reported. Case presentation A 26-year-old lady found two active, living larvae in her mouth while brushing her teeth. She did not present with fever, pain and any uncomfortable oral feeling. The intraoral examination revealed the right second mandibular molar was severely damaged as a result of caries, leaving a residual tooth root. The mucosa above it was mildly erythematous and edematous. No larvae and no inflamed gums were observed in her mouth. When normal saline was used to flush the area of the residual root with a syringe, four larvae appeared from the residual root. The larvae were observed by naked eye and under a light microscope. They were identified as the mature stage larvae of Clogmia albipunctata. Because the patient was in lactation, medication was not recommended. Treatment included the removal of all visible larvae followed by flushing the residual root with normal saline three times a day. The patient was followed-up weekly for one month. No more larvae were found and the erythematous and edematous mucosa healed completely. Conclusions The existence of a residual root can result in residual root myiasis. Myiasis caused by Clogmia albipunctata larvae or other fly larvae should be considered in cases of residual root infection.https://doi.org/10.1186/s12879-022-07325-2MyiasisResidual rootClogmia albipunctataLarvaeCase report
spellingShingle Juan Chen
Jinrui Liu
Yun Liu
Yingjie Liu
A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
BMC Infectious Diseases
Myiasis
Residual root
Clogmia albipunctata
Larvae
Case report
title A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
title_full A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
title_fullStr A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
title_full_unstemmed A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
title_short A rare case of residual root myiasis caused by Clogmia albipunctata larvae (Diptera: Psychodidae)
title_sort rare case of residual root myiasis caused by clogmia albipunctata larvae diptera psychodidae
topic Myiasis
Residual root
Clogmia albipunctata
Larvae
Case report
url https://doi.org/10.1186/s12879-022-07325-2
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