Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/13145 |
Resumo: | The management of patients with neurodegenerative conditions such as Alzheimer's disease presents a challenge in promoting oral health, which is mainly linked to the motor and cognitive limitations that these individuals have, making them susceptible to the development of a series of oral diseases, such as oral myiasis. The presence of larvae in the oral cavity in patients with Alzheimer's disease seems to be related to poor oral hygiene condition, to the long periods that the patient remains immobile and with the mouth ajar, facilitating the deposition of eggs. Therefore, this study aimed to report a clinical experience of a patient with Alzheimer's disease in an advanced stage and with manifestation of oral myiasis on the oral floor, vestibule bottom and inserted gum. The 81-year-old patient was debilitated, bedridden, unable to perform his activities alone, was taken to the emergency room by his caregiver, who reported having noticed the presence of larvae in the oral cavity. The patient was hospitalized and immediately administered Ivermectin, ceftriaxone and clindamycin. On the second day of hospitalization, he presented a systemic worsening due to bronchoaspiration, requiring immediate removal of the larvae under local anesthesia. Only after significant improvement in the general condition, thorough surgery was performed to debridement of the injured areas and remnants of larvae. After hospital discharge with 2-month follow-up, the patient did not have any complications related to his oral health, demonstrating that periodic follow-up to debilitated patients is an important tool for preventing opportunistic manifestations such as oral myiasis. |
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Clinical and systemic management of myiasis in a patient with advanced Alzheimer's diseaseManejo clínico y sistémico de la miasis en un paciente con enfermedad de Alzheimer avanzadaManejo clínico e sistêmico de miíase em paciente com doença de Alzheimer avançadaDoença de AlzheimerSaúde bucalMiíase.Enfermedad de AlzheimerSalud bucalMiasis. Alzheimer's diseaseOral healthMyiasis.The management of patients with neurodegenerative conditions such as Alzheimer's disease presents a challenge in promoting oral health, which is mainly linked to the motor and cognitive limitations that these individuals have, making them susceptible to the development of a series of oral diseases, such as oral myiasis. The presence of larvae in the oral cavity in patients with Alzheimer's disease seems to be related to poor oral hygiene condition, to the long periods that the patient remains immobile and with the mouth ajar, facilitating the deposition of eggs. Therefore, this study aimed to report a clinical experience of a patient with Alzheimer's disease in an advanced stage and with manifestation of oral myiasis on the oral floor, vestibule bottom and inserted gum. The 81-year-old patient was debilitated, bedridden, unable to perform his activities alone, was taken to the emergency room by his caregiver, who reported having noticed the presence of larvae in the oral cavity. The patient was hospitalized and immediately administered Ivermectin, ceftriaxone and clindamycin. On the second day of hospitalization, he presented a systemic worsening due to bronchoaspiration, requiring immediate removal of the larvae under local anesthesia. Only after significant improvement in the general condition, thorough surgery was performed to debridement of the injured areas and remnants of larvae. After hospital discharge with 2-month follow-up, the patient did not have any complications related to his oral health, demonstrating that periodic follow-up to debilitated patients is an important tool for preventing opportunistic manifestations such as oral myiasis.El manejo de pacientes con afecciones neurodegenerativas como la enfermedad de Alzheimer presenta un desafío en la promoción de la salud bucal, que está principalmente ligado a las limitaciones motoras y cognitivas que tienen estos individuos, haciéndolos susceptibles al desarrollo de una serie de enfermedades bucodentales. La presencia de larvas en la cavidad oral en pacientes con enfermedad de Alzheimer parece estar relacionada con un mal estado de higiene bucal, con los largos periodos que el paciente permanece inmóvil y con la boca entreabierta, facilitando el depósito de huevos. Este estudio tuvo como objetivo reportar una experiencia clínica de un paciente con enfermedad de Alzheimer en estadio avanzado y con manifestación de miasis oral en el piso bucal, fondo del vestíbulo y encía insertada. El paciente de 81 años se encontraba debilitado, postrado en cama, incapaz de realizar sus actividades solo, fue llevado a urgencias por su cuidador, quien refirió haber notado la presencia de larvas en la cavidad bucal. El paciente fue hospitalizado y se le administró inmediatamente ivermectina, ceftriaxona y clindamicina. Al segundo día de hospitalización presentó un agravamiento sistémico por broncoaspiración, requiriendo la extracción inmediata de las larvas bajo anestesia local. Solo después de una mejora significativa en el estado general, se realizó una cirugía completa para el desbridamiento de las áreas lesionadas y los restos de larvas. Tras el alta hospitalaria con seguimiento a 2 meses, el paciente no presentó complicaciones relacionadas con su salud bucal, demostrando que el seguimiento periódico a pacientes debilitados es una herramienta importante para prevenir manifestaciones oportunistas como la miasis oral.O manejo de pacientes com condições neurodegenerativas como a doença de Alzheimer apresenta-se um desafio na promoção de saúde bucal, o que está atrelado principalmente as limitações motoras e cognitivas que tais indivíduos possuem, tornando-os susceptíveis ao desenvolvimento de uma série de doenças bucais, como a miíase oral. A presença de larvas na cavidade oral em pacientes com doença de Alzheimer parece estar relacionada a condição de higiene bucal deficiente, aos longos períodos que o paciente permanece imóvel e com a boca entreaberta, facilitando a deposição dos ovos. Diante disso, este trabalho teve o objetivo de relatar uma experiência clínica de paciente com doença de Alzheimer em estágio avançado e com manifestação de miíase oral em assoalho bucal, fundo de vestíbulo e gengiva inserida. O paciente de 81 anos encontrava-se debilitado, acamado, sem condições de realizar suas atividades sozinho, foi levado ao pronto atendimento por sua cuidadora, que relatou ter notado presença de larvas em cavidade bucal. O paciente foi internado e imediatamente instituiu-se administração de Ivermectina, ceftriaxona e clindamicina. No segundo dia de internação, apresentou uma piora sistêmica devido broncoaspiração, necessitando de remoção imediata das larvas sob anestesia local. Somente após significativa melhora da condição geral, realizou-se cirurgia minuciosa para debridamento das áreas lesionadas e de remanescentes de larvas. Após alta hospitalar com acompanhamento de 2 meses, o paciente não apresentou nenhuma intercorrência relacionada a sua saúde bucal, demonstrando que o acompanhamento periódico a pacientes debilitados é uma ferramenta importante para prevenção de manifestações oportunistas como a miíase oral.Research, Society and Development2021-03-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1314510.33448/rsd-v10i3.13145Research, Society and Development; Vol. 10 No. 3; e12110313145Research, Society and Development; Vol. 10 Núm. 3; e12110313145Research, Society and Development; v. 10 n. 3; e121103131452525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/13145/11806Copyright (c) 2021 William Phillip Pereira da Silva; Stéfany Barbosa; Bruno Coelho Mendes; Mateus Diego Pavelski; Anderson Maikon de Souza Santos; Mirela Caroline Silva; João Matheus Fonseca e Santos ; Osvaldo Magro Filho; Leonardo Perez Faveranihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, William Phillip Pereira daBarbosa, Stéfany Coelho Mendes, BrunoDiego Pavelski, Mateus Santos, Anderson Maikon de Souza Silva, Mirela CarolineSantos , João Matheus Fonseca e Magro Filho, Osvaldo Faverani, Leonardo Perez 2021-03-28T12:03:35Zoai:ojs.pkp.sfu.ca:article/13145Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:33.606151Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease Manejo clínico y sistémico de la miasis en un paciente con enfermedad de Alzheimer avanzada Manejo clínico e sistêmico de miíase em paciente com doença de Alzheimer avançada |
title |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
spellingShingle |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease Silva, William Phillip Pereira da Doença de Alzheimer Saúde bucal Miíase. Enfermedad de Alzheimer Salud bucal Miasis. Alzheimer's disease Oral health Myiasis. |
title_short |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
title_full |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
title_fullStr |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
title_full_unstemmed |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
title_sort |
Clinical and systemic management of myiasis in a patient with advanced Alzheimer's disease |
author |
Silva, William Phillip Pereira da |
author_facet |
Silva, William Phillip Pereira da Barbosa, Stéfany Coelho Mendes, Bruno Diego Pavelski, Mateus Santos, Anderson Maikon de Souza Silva, Mirela Caroline Santos , João Matheus Fonseca e Magro Filho, Osvaldo Faverani, Leonardo Perez |
author_role |
author |
author2 |
Barbosa, Stéfany Coelho Mendes, Bruno Diego Pavelski, Mateus Santos, Anderson Maikon de Souza Silva, Mirela Caroline Santos , João Matheus Fonseca e Magro Filho, Osvaldo Faverani, Leonardo Perez |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva, William Phillip Pereira da Barbosa, Stéfany Coelho Mendes, Bruno Diego Pavelski, Mateus Santos, Anderson Maikon de Souza Silva, Mirela Caroline Santos , João Matheus Fonseca e Magro Filho, Osvaldo Faverani, Leonardo Perez |
dc.subject.por.fl_str_mv |
Doença de Alzheimer Saúde bucal Miíase. Enfermedad de Alzheimer Salud bucal Miasis. Alzheimer's disease Oral health Myiasis. |
topic |
Doença de Alzheimer Saúde bucal Miíase. Enfermedad de Alzheimer Salud bucal Miasis. Alzheimer's disease Oral health Myiasis. |
description |
The management of patients with neurodegenerative conditions such as Alzheimer's disease presents a challenge in promoting oral health, which is mainly linked to the motor and cognitive limitations that these individuals have, making them susceptible to the development of a series of oral diseases, such as oral myiasis. The presence of larvae in the oral cavity in patients with Alzheimer's disease seems to be related to poor oral hygiene condition, to the long periods that the patient remains immobile and with the mouth ajar, facilitating the deposition of eggs. Therefore, this study aimed to report a clinical experience of a patient with Alzheimer's disease in an advanced stage and with manifestation of oral myiasis on the oral floor, vestibule bottom and inserted gum. The 81-year-old patient was debilitated, bedridden, unable to perform his activities alone, was taken to the emergency room by his caregiver, who reported having noticed the presence of larvae in the oral cavity. The patient was hospitalized and immediately administered Ivermectin, ceftriaxone and clindamycin. On the second day of hospitalization, he presented a systemic worsening due to bronchoaspiration, requiring immediate removal of the larvae under local anesthesia. Only after significant improvement in the general condition, thorough surgery was performed to debridement of the injured areas and remnants of larvae. After hospital discharge with 2-month follow-up, the patient did not have any complications related to his oral health, demonstrating that periodic follow-up to debilitated patients is an important tool for preventing opportunistic manifestations such as oral myiasis. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/13145 10.33448/rsd-v10i3.13145 |
url |
https://rsdjournal.org/index.php/rsd/article/view/13145 |
identifier_str_mv |
10.33448/rsd-v10i3.13145 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/13145/11806 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 3; e12110313145 Research, Society and Development; Vol. 10 Núm. 3; e12110313145 Research, Society and Development; v. 10 n. 3; e12110313145 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052671730909184 |