1.Nosocomial nasal myiasis in an intensive care unit
NAZNI WA ; JEFFERY J ; LEE HL ; LAILATUL AKMAR MN ; CHEW WK ; HEO CC ; SADIYAH I ; KHAIRUL ASUAD M ; HEAH SK ; MOHD HISHAM H
The Malaysian Journal of Pathology 2011;33(1):53-56
A 73-year-old Chinese man was admitted to the Accident and Emergency Premorbid Ward of a
local hospital in Malaysia. The patient complained of shortness of breath with cough and was in a
semi-conscious state. He was later admitted to an intensive care unit (ICU) of the hospital. Six days
after admission 5-6 maggots were recoverd from the nasal cavity. The maggots were identifi ed as the
third-instar larvae of Lucilia cuprina Wiedmann (Diptera: Calliphoridae) based on the morphological
characteristics. This patient was classifi ed as having nosocomial myiasis. The presence of the third
instar larvae indicated that the infestation was not more than three to four days. An adult sarcophagid
identifi ed as Parasarcophaga rufi cornis (Fabricius) caught in the ICU where the patient was warded
provided further evidence of the potential for the nosocomial infestation.
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