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A case report on use of ivermectin as nasal drop in a case of nasal myiasis

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Case Report

Author Details : Vartika Paliwal, Sudhakar Vaidya*

Volume : 7, Issue : 1, Year : 2024

Article Page : 12-15

https://doi.org/10.18231/j.ijoas.2024.004

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Abstract

We describe a case of nasal myiasis due to in a 52-year-old Hindu priest with a previously known case of right sided hemiparesis with diabetes mellitus. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation after instillation of ivermectin tabs crushed in normal saline as nasal drops, the patient self-expulsed some larvae, and rest larvae were cleared on subsequent nasal suction and clearance. He also received a course of oral ivermectin. Here, we propose that the antiparasitic oral tablet ivermectin can be used in a nasal drop formulation for the aid of nasal myiasis.
 

Keywords: Nasal myiasis, Topical parasiticides, Endoscopy, Irrigation, Suction and clearance

How to cite : Paliwal V, Vaidya S, A case report on use of ivermectin as nasal drop in a case of nasal myiasis. J Otorhinolaryngol Allied Sci 2024;7(1):12-15

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