Professional paper
https://doi.org/10.15644/asc47/3/6
The Use of Ivermectin in the Adjunct Treatment of Oral Cavity Myiasis
Ferdinando De Conto
; Department of Bucomaxillofacial Surgery and Traumatology of the Hospital São Vicente de Paulo, and Professor at the School of Dentistry of the University of Passo Fundo – RS, Brazil
Manoela Moura De Bortoli
; Student of Dentistry from the University of Passo Fundo – RS, Brazil
Thisa Maitê Furlanetto Bordignon
; Dental Surgeon graduated from the School of Dentistry of the University of Passo Fundo – RS, Brazil
Daniel Marcolin
; Geriatrics Department of the Hospital São Vicente de Paulo, and the School of Medicine of the University of Passo Fundo – RS, Brazil
Júlio Cesar Stobbe
; Emergency room of the Hospital São Vicente de Paulo, and Professor at the School of Medicine of the University of Passo Fundo – RS, Brazil
Gisele Rovani
; Brazil
Mateus Ericson Flor
; Brazil
Abstract
Oral myiasis is generally associated to poor oral hygiene, alcoholism, senility, suppurative lesions, and neoplasia and has been constantly reported in elderly patients and/or patients with mental disorders and special needs. Different methods have been described for the clinical treatment of human myiasis, however, none of them were completely effective. This paper suggests that oral Ivermectin is considered an alternative therapy for myiasis. This medication is practical to administrate and presents quick absorption with high blood concentration in relatively little time. The present article reports two cases of elderly patients who were residents of geriatric homes and
were referred to the emergency unit of the Hospital São Vicente de Paulo of Passo Fundo – RS, Brazil, with a critical condition of oral myiasis and septic teeth. For treating the larvae present in the oral cavity, washing procedures with 10 vol. oxygenated water and 0.12% Chlorhexidine gluconate (CHX) were performed, plus manual removal of the larvae. As adjunct systemic treatment, Ivermectin 6 mg was administered for 3 days, which proved to be quite a viable and easy implementation, serving as a good option in the adjunct treatment of this kind of pathology.
Keywords
Hrčak ID:
108224
URI
Publication date:
15.9.2013.
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