NASAL MYIASIS ( Maggots in Nose)

•       Common  in both hot and humid  climate

•       Flies of genus Chrysomyia 

Clinical feature

1. Common in lower socioeconomic pt
2. Predisposing factor:

    Atrophic rhinitis, chronic rhinosinusitis, syphilis, leprosy : provide environment for housefly to lay egg—egg hatch to larvae measuring 1-5 cm which r white in color

Clinical feature

1. First 3-4 days : intense irritation, sneezing, lacrimation
2. Nasal obstruction
3. Foul smelling discharge
4. Thin blood stained discharge , Epistaxsis 
5. Severe pain : in and around nose
6. Cellulitis: redness of skin over nose, face, and eyelid, fistulae  around nose and palate

EXAMINATION:

1. Larvae in nasal cavity
2. s/s of infection

TREATMENT

1. Visible maggots : picked by forceps
2. Liquid paraffin / olive oil or turpentine oil into nasal cavity
3. Antibiotic : if cellulitis/ infection
4. Treatment of cause
5. Isolated with mosquito nets to avoid contact with flies