“Myiasis” is a term used to represent invasion caused by fly larvae that affect organs and tissues of human beings and feeds on the host tissue. It is a rare and non-specific pathology that varies according to the species of fly larvae and the area of the body involved. Various factors like extraction wounds, uncontrolled diabetes, necrotic tissues, alcohol addiction, poor oral hygiene, immunocompromised conditions and people with special care needs like debilitated or mentally challenged individuals predispose to develop myiasis. We hereby report a case of oral myiasis of the maxillary anterior region of the palate and labial mucosa, in a 16-year-old female patient with special care needs who for her daily activities is dependent. The diagnosis was confirmed by the presence of pulsating larvae in the lesion and was managed by conservative suffocation therapy involving the turpentine oil topical application followed by the mechanical removal of larvae along with surgical debridement and post-operative antibiotics.


1. nhm.ac.uk [Internet]. London: The Natural History Museum of London. Introduction to Myiasis. Available from: http://www. nhm.ac.uk/researchcuration/ research/projects/myiasis-larvae/intromyiasis/ index

2. Vinit GB, Jayavelu P, Shrutha SP. Oral myiasis in a maxillofacial trauma patient. J Pharm Bioallied Sci. 2013; 5(Suppl 2):S195-7.

3. Reddy MH, Das N, Vivekananda MR. Oral myiasis in children. Contemp Clin Dent. 2012; 3(Suppl 1):S19-22.

4. Yadav N, Kumar A. Oral myiasis-Series of case report and literature review. Int J Dent Med Spec. 2017; 4(2):3-6.

5. P r abhu SR , P r aetor iu s F, Seng upt a SK. Miscellaneous infections and other diseases of tropical interest. In: Prabhu SR, Wilson DF, Daftary DK, Johnson N, editors. Oral diseases in the tropics. Toronto: Oxford University Press; 1993. p. 292-300.

6. Jang M, Ryu SM, Kwon SC, Ha JO, Kim YH, Kim DH, Jung SM, Lee SI, Sohn WM, Cha HJ, Ock M. A case of oral myiasis caused by Lucilia sericata (Diptera: Calliphoridae) in Korea. Korean J Parasitol. 2013; 51(1):119-23.

7. Cestari TF, Pessato S, Ramos-e-Silva M. Tungiasis and myiasis. Clin Dermatol. 2007; 25(2):158-64.

8. Asokan GS, Anand V, Balaji N, Parthiban J, Jeelani S. Maggots in the mouth–oral myiasis: A rare case report. J Indian Aca Oral Med Radiol. 2013; 25(3):225-8.

9. Hegde S, Bhaskar SA. Oral myiasis: A concealed threat to disabled children of developing countries. J Dent Child (Chic). 2015;82(2):112-5.

10. Ali FM, Patil K, Kar S, Patil AA, Ahamed S. Oral myiasis affecting gingiva in a child patient: An uncommon case report. Case Rep Dent. 2016;2016:2197450.

11. Fernández HA, Cobos MR, Molina MS, Rojas PR, Malagón PF. Miasis oral en un paciente con parálisis cerebral: Reporte de un caso. Acta Odontol Colombiana. 2016; 6(2):61-8.

12. Silva JM, Cardoso JA, de Farias JG, Cancio AV. Miíase oral em paciente portadora da doença de Wilson: Relato de caso. Rev Fac Odontol (Univ Passo Fundo). 2014;19(3):364-7.

13. Patussi C, Lunelli DC, Bixofis RB, Guebur MI, Dissenha JL, Sassi LM. Myiasis in maxillofacial region: series of three cases. Rev Sul-Brasileira Odontol. 2014; 11(3):303-8.

14. Filho AO, Dias D, Miranda Á, Hebling E. Oral myiasis in older adult with severe Alzheimer’s disease. Spec Care Dentist. 2018; 38(2):99-106.

15. Kumar PS, Ramadas R, Shankar P, Thampas N. Oral Myiasis: The Diagnostic Conundrum-A Systematic Review. J Clin Diagn Res. 2019; 13(9):1-4.

16. Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012; 25(1):79-105.

17. Ramli R, Abd Rahman R, Rahman RA. Oral myiasis: Case report. Malays J Med Sci. 2002; 9(2):47-50.

18. Rao GS, Chatra L, Prashanth SK. Oral myiasis: A rare entity. J Maxillofac Oral Surg. 2009; 8(4):398-400.

19. Zhou X, Kambalame DM, Zhou S, Guo X, Xia D, Yang Y, Wu R, Luo J, Jia F, Yuen M, Xu Y, Dai G, Li L, Xie T, Puthiyakunnon S, Wei W, Xie L, Liang S, Feng Y, Huang S, Hu Y, Mo Q, Mai R, Zhang X, Spradbery P, Zhou X. Human Chrysomya bezziana myiasis: A systematic review. PLoS Negl Trop Dis. 2019; 13(10):e0007391.

20. Pereira T, Tamgadge AP, Chande MS, Bhalerao S, Tamgadge S. Oral myiasis. Contemp Clin Dent. 2010; 1(4):275-6. 21. Soulsby H, Jones BL, Coyne M, Alexander CL. An unusual case of vaginal myiasis. JMM Case Rep. 2016; 3(6):e005060.

22. Shinohara EH, Martini MZ, de Oliveira Neto HG, Takahashi A. Oral myiasis treated with ivermectin: Case report. Braz Dent J. 2004; 15(1):79-81.

23. Kumar SL, Manuel S, John TV, Sivan MP. Extensive gingival myiasis - Diagnosis, treatment, and prevention. J Oral Maxillofac Pathol. 2011; 15(3):340-3.

24. Kumar P, Srikumar GP. Oral myiasis in a maxillofacial trauma patient. Contemp Clin Dent. 2012; 3(2):202-4.



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