Author/Authors :
NAZNI, WA Institute for Medical Research - Medical Entomology Unit , JEFFERY, J university of malaya - Parasitology Department, Malaysia , LEE, HL Institute for Medical Research - Medical Entomology Unit , LAILATUL AKMAR, MN Hospital Melaka - Microbiology Unit , CHEW, WK Institute for Medical Research - Medical Entomology Unit , HEO, CC Universiti Teknologi Mara, Malaysia , SADIYAH, I Institute for Medical Research - Medical Entomology Unit , KHAIRUL ASUAD, M Institute for Medical Research - Medical Entomology Unit , HEAH, SK Institute for Medical Research - Medical Entomology Unit , MOHD HISHAM, H Health Office, Malaysia
Abstract :
A 73-year-old Chinese man was admitted to the Accident and Emergency Premorbid Ward of a local hospital in Malaysia. The patient complained of shortness of breath with cough and was in a semi-conscious state. He was later admitted to an intensive care unit (ICU) of the hospital. Six days after admission 5-6 maggots were recoverd from the nasal cavity. The maggots were identified as the third-instar larvae of Lucilia cuprina Wiedmann (Diptera: Calliphoridae) based on the morphological characteristics. This patient was classifi ed as having nosocomial myiasis. The presence of the third instar larvae indicated that the infestation was not more than three to four days. An adult sarcophagid identifi ed as Parasarcophaga ruficornis (Fabricius) caught in the ICU where the patient was warded provided further evidence of the potential for the nosocomial infestation.
Keywords :
nosocomial myiasis , nasal , hospital , fl ies , calliphoridae
