Nasal myiasis due to Lucilia sericata (Meigen, 1826) from Iran: a case report

Although not very common, human myiasis occurs more in developing tropical countries. A variety of dipterans cause nasal myiasis including the family Caliphoridae. In this report a case of nasal myiasis due to Lucilia sericata is reported for the first time, in a 74-year old patient from Mazandaran Heart Centre, North of Iran. The patient was originally admitted to the Mazandaran Heart Centre due to cardiac arrest and cerebral ischemia with diminishing consciousness. Because of the emergence of large number of maggots from his left nostril and the suspicion of infectious diseases, he was referred to the ICU of the Razi Infectious Diseases Hospital the next day. The larvae were identified as L. sericata. The conditions of the patient were medicated and the myiasis was treated by washing with 2% solution of xylocaine and oral administration of 2 mg tablets of ivermectin.