Extensive Palatal Necrosis Secondary to Chrysomya bezziana Myiasis: A Case Report
https://doi.org/10.21315/aos2025.2001.CR03
- Author:
Ken Wong Siong Hou
1
;
Syamsa Rizal Abdullah
2
;
Mohd Rafizul Mohd Yuso
2
;
Ahmad Firdaus Mohd Salleh
3
;
Syed Nabil Syed Omar
1
Author Information
1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia
2. Department of Parasitology and Medical Entomology, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
3. Mycology Unit, Department of Diagnostic Laboratory Services, Hospital Canselor Tuanku Muhriz Universiti Kebangsaan Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia
- Publication Type:Case Reports
- Keywords:
Chrysomya bezziana;
myiasis;
necrosis;
oral cavity;
palate
- From:
Archives of Orofacial Sciences
2025;20(1):59-68
- CountryMalaysia
- Language:English
-
Abstract:
Extensive Palatal Necrosis Secondary to Chrysomya bezziana Myiasis: A Case Report:Oral myiasis, a rare condition characterised by infestation of dipterous larvae in the oral cavity,
poses unique diagnostic and therapeutic challenges. Herein, we present a case study of a 35-yearold quadriplegic man presenting with oral myiasis localised to the palatal region, likely attributable to
malnutrition and suboptimal oral hygiene. Manifestations comprised oral bleeding, fever, and necrotic
palatal ulcers infested with maggots. Initial diagnostic considerations encompassed mucormycosis and
neoplastic lesions; however, further scrutiny revealed primary palatal myiasis caused by Chrysomya
bezziana species. Therapeutic interventions entailed bedside maggot removal and meticulous wound
care, with topical hyaluronic acid application and oral hygiene guidance. This case underscores the
significance of uncommon conditions such as palatal myiasis, especially among patients with intricate
medical backgrounds. A comprehensive diagnostic approach and optimal treatment ensure favourable
outcomes.
- Full text:2026060915051596518Extensive Palatal Necrosis Secondary.pdf
