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Myasis associated with nasal basal cell carcinoma
Acta Otorrinolaringol Esp. 2011;62(1):77−78 ÓRGANO OFICIAL DE LA SOCIEDAD ESPAÑOLA DE OTORRINOLARINGOLOGÍA Y PATOLOGÍA CÉRVICOFACIAL Y DE LA ACADEMIA IBEROAMERICANA DE OTORRINOLARINGOLOGÍA
Acta Otorrinolaringológica Española
Acta Otorrinolaringológica Española
SEORL PCF
Enero-Febrero 2010. Vol. 61. Núm. 1 Parotidectomías en tumores benignos: clasificación «Sant Pau» de la extensión de la resección Resección de tumor de cuerpo carotideo con LigaSure Laringectomía horizontal supraglótica láser CO : nuestra experiencia en seis años Estudio comparativo mediante tomografía computarizada de la morfología de la sutura timpanoescamosa entre colesteatoma atical y oídos sanos Tensores del velo del paladar y del martillo: vínculos anatómicos, funcionales y sintomáticos Los patrones normal y vestibular en la posturografía dinámica de pacientes con enfermedad de Menière Epidemiología de las epistaxis ingresadas en un hospital de tercer nivel Enero-Febrero 2010. Volumen 61. Número 1. Páginas 1-88
www.elsevier.es/otorrino
Mucormicosis rinoorbitocerebral, un estudio retrospectivo de 7 casos Profilaxis antibiótica en cirugía otorrinolaringológica Recomendaciones de la Comisión para la Detección Precoz de la Hipoacusia (CODEPEH) para 2010 Fallo barorreceptor tras la resección bilateral de paragangliomas carotídeos Miositis fulminante del compartimento muscular cervical posterior. A propósito de un caso Síndrome de sonda nasogástrica: a propósito de un caso Tiroides lingual: un hallazgo casual
Full English text available Incluida en: MEDLINE/Index Medicus EMBASE/Excerpta Medica Concerlit, Aidsline Bibliomed, Biosis, Healfnstar, IBECS
www.elsevier.es/otorrino
IMAGES IN OTORHINOLARYNGOLOGY
Myasis associated with nasal basal cell carcinoma Miasis asociada a carcinoma basocelular nasal José Manuel Tamarit-Conejeros,* M.ª Teresa Cuesta González, José Dalmau Galofre Servicio de Otorrinolaringología, Hospital Universitario Dr. Peset, Valencia, Spain Received July 24, 2009; accepted August 27, 2009
Myasis is derived from the Greek word “myia” and refers to the invasion of tissues by dipteral larvae. It is an infrequent pathology, found mostly in less developed countries and warm climate regions. It is usually associated to deficient
hygiene conditions, ulcerative and suppurative injuries, alcoholism and senility. Flies lay their eggs, which enter the larval phase and penetrate and destroy tissues. The diagnosis is determined by the presence of larvae; the treatment involves their removal and the use of either topical or oral antibiotic therapy. Although the prognosis is usually mild, this depends on subjacent injuries and the
Figure 1 Advanced basal cell carcinoma. *Corresponding author. E-mail address: [email protected] (J.M. Tamarit-Conejeros).
Figure 2 Detail of a larva in the right nasal fossa.
0001-6519/$ - see front matter © 2009 Elsevier España, S.L. All rights reserved.
78
severity of the infection, because ocular, orbital, meningeal and brain damage can occasionally take place. We present images of a homeless patient who arrived at an accident and emergency service after severe alcohol consumption and who presented a bleeding nasal injury. The clinical examination suggested an ulceronecrotic lesion, which affected practically all the nasal skin and had destroyed the soft tissues at the level of the nasal fossae, especially on the right side (Figure 1). The injury presented a fetid odour and a blood-mucus secretion, as well as the presence of a motile larva located in the right
J. M. Tamarit-Conejeros et al
nasal cavity (Figure 2). Similar larvae were found inside both nasal cavities. Lesion histopathology suggested a basal cell carcinoma and the microbiological study of the larvae corresponded to the Cyclorrhapha subgroup. The patient did not accept any other complementary tests, follow-up or treatment for his nasal pathology.
Conflict of interest The authors declare no conflict of interest.
Acta Otorrinolaringológica Española
Acta Otorrinolaringológica Española
SEORL PCF
Enero-Febrero 2010. Vol. 61. Núm. 1 Parotidectomías en tumores benignos: clasificación «Sant Pau» de la extensión de la resección Resección de tumor de cuerpo carotideo con LigaSure Laringectomía horizontal supraglótica láser CO : nuestra experiencia en seis años Estudio comparativo mediante tomografía computarizada de la morfología de la sutura timpanoescamosa entre colesteatoma atical y oídos sanos Tensores del velo del paladar y del martillo: vínculos anatómicos, funcionales y sintomáticos Los patrones normal y vestibular en la posturografía dinámica de pacientes con enfermedad de Menière Epidemiología de las epistaxis ingresadas en un hospital de tercer nivel Enero-Febrero 2010. Volumen 61. Número 1. Páginas 1-88
www.elsevier.es/otorrino
Mucormicosis rinoorbitocerebral, un estudio retrospectivo de 7 casos Profilaxis antibiótica en cirugía otorrinolaringológica Recomendaciones de la Comisión para la Detección Precoz de la Hipoacusia (CODEPEH) para 2010 Fallo barorreceptor tras la resección bilateral de paragangliomas carotídeos Miositis fulminante del compartimento muscular cervical posterior. A propósito de un caso Síndrome de sonda nasogástrica: a propósito de un caso Tiroides lingual: un hallazgo casual
Full English text available Incluida en: MEDLINE/Index Medicus EMBASE/Excerpta Medica Concerlit, Aidsline Bibliomed, Biosis, Healfnstar, IBECS
www.elsevier.es/otorrino
IMAGES IN OTORHINOLARYNGOLOGY
Myasis associated with nasal basal cell carcinoma Miasis asociada a carcinoma basocelular nasal José Manuel Tamarit-Conejeros,* M.ª Teresa Cuesta González, José Dalmau Galofre Servicio de Otorrinolaringología, Hospital Universitario Dr. Peset, Valencia, Spain Received July 24, 2009; accepted August 27, 2009
Myasis is derived from the Greek word “myia” and refers to the invasion of tissues by dipteral larvae. It is an infrequent pathology, found mostly in less developed countries and warm climate regions. It is usually associated to deficient
hygiene conditions, ulcerative and suppurative injuries, alcoholism and senility. Flies lay their eggs, which enter the larval phase and penetrate and destroy tissues. The diagnosis is determined by the presence of larvae; the treatment involves their removal and the use of either topical or oral antibiotic therapy. Although the prognosis is usually mild, this depends on subjacent injuries and the
Figure 1 Advanced basal cell carcinoma. *Corresponding author. E-mail address: [email protected] (J.M. Tamarit-Conejeros).
Figure 2 Detail of a larva in the right nasal fossa.
0001-6519/$ - see front matter © 2009 Elsevier España, S.L. All rights reserved.
78
severity of the infection, because ocular, orbital, meningeal and brain damage can occasionally take place. We present images of a homeless patient who arrived at an accident and emergency service after severe alcohol consumption and who presented a bleeding nasal injury. The clinical examination suggested an ulceronecrotic lesion, which affected practically all the nasal skin and had destroyed the soft tissues at the level of the nasal fossae, especially on the right side (Figure 1). The injury presented a fetid odour and a blood-mucus secretion, as well as the presence of a motile larva located in the right
J. M. Tamarit-Conejeros et al
nasal cavity (Figure 2). Similar larvae were found inside both nasal cavities. Lesion histopathology suggested a basal cell carcinoma and the microbiological study of the larvae corresponded to the Cyclorrhapha subgroup. The patient did not accept any other complementary tests, follow-up or treatment for his nasal pathology.
Conflict of interest The authors declare no conflict of interest.