Sarcophaga sp.'nin Sebep Oldugu Nazofarengeal Miyaz Olgusu/A Case of Nasopharyngeal Myiasis Caused by Sarcophaga sp

• Published in: Türkiye parazitolojii dergisi 2023-06, Vol.47 (2), p.124
• Main Authors: Çiçek, Mutalip, Çakir, Fatih, Ipek, Duygu Neval Sayin, Bilden, Alican, Akil, Esref
• Format: Article
• Language: English
• Subjects: Blowflies
• ISSN: 1300-6320
• DOI: 10.4274/tpd.galenos.2023.86547

Miyazis, Diptera sinifi larvalarin omurgali doku ve vücut bosluklarini istila etmesi anlamina gelen bir terimdir. Nazal miyaz çogunlukla Sarcophagidae ve Calliphoridae ailesi üyelerinin neden oldugu bir enfestasyondur. Bulasinda birçok predispozan faktörün rol aldigi hastaligin tedavisinde mekanik temizleme ile beraber antiseptiklerin kullanimi tavsiye edilmektedir. Bu olguda, 75 yasinda yogun bakimda yatan bir hastada görülen nazofarengeal miyaz sunuldu. Hastanin burnunda dokuz adet larva tespit edilmistir. Larvalar bölgeden uzaklastirilarak üç gün boyunca bölge %5'lik iodin solüsyonuyla temizlendi. Makroskobik ve mikroskobik incelemeler sonunda etkenin Sarcophaga sp.'nin üçüncü evre larvalari oldugu belirlendi. Miyaz enfestasyonlarini engellemek için yogun bakim ünitelerini gibi hastanin bilincinin kapali oldugu yerlerde görev yapan personeller hastalarin burun, agiz ve kulak boslugu gibi vücut bosluklarini günlük olarak kontrol etmeli, bakim ve temizligini en uygun sekilde yapmalidir. Anahtar Kelimeler: Miyazis, Sarcophaga sp., nazofarengeal miyaz, yogun bakim Myiasis is a parasitic infestation of tissues and body cavities of vertebrates by Diptera larvae. Nasal myiasis is mostly caused by the Sarcophagidae and Calliphoridae families. Many predisposing factors play a role in the appearance of nasal myiasis. In the treatment of the disease, the use of antiseptics together with mechanical cleaning is recommended. In this report, a case of nasopharyngeal myiasis in a 75-year-old patient hospitalized in the intensive care unit is presented. Nine larvae were detected in the patient's nose. Larvae were removed from the area and were cleaned with iodine solution for three days. As a result of macroscopic and microscopic examination, the larvae were identified as the third stage of Sarcophaga sp. in order to prevent myiasis infestations, personnel working in places where the patient is unconscious, such as intensive care units, should daily check the patient's body cavities such as nose, mouth and ear cavities, and perform their care and cleaning. Keywords: Myiasis, Sarcophaga sp., nasopharyngeal myiasis, intensive care