تقرير
Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana.
| العنوان: | Ophthalmomyiasis in a preterm neonate resulting in blindness: A case report from Botswana. |
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| المؤلفون: | Nakstad B; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana.; Division Paediatric Adolescent Medicine, Inst Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway., Zandile Y; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana., Gaebolae K; Department of Ophthalmology, Princess Marina Hospital, Gaborone, Botswana., Banda FM; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana., Dinotshe T; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana., Imran F; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana., Gezmu AM; Department of Paediatrics and Adolescent Health, University of Botswana, Gaborone, Botswana. |
| المصدر: | Frontiers in pediatrics [Front Pediatr] 2022 Sep 29; Vol. 10, pp. 955212. Date of Electronic Publication: 2022 Sep 29 (Print Publication: 2022). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Media SA Country of Publication: Switzerland NLM ID: 101615492 Publication Model: eCollection Cited Medium: Print ISSN: 2296-2360 (Print) Linking ISSN: 22962360 NLM ISO Abbreviation: Front Pediatr Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Media SA, [2013]- |
| مستخلص: | Myiasis is an infestation of human tissue by insect larvae. While rare, healthcare-associated myiasis has been reported from immobilized patients in resource-limited healthcare facilities in warm climates without adequate vector control measures. We describe a case of Ophthalmomyiasis in a hospitalized neonate in Botswana that resulted in vision loss. The neonate, who was initially hospitalized due to the complications of prematurity, received phototherapy for jaundice, and to avoid phototherapy-related retinopathy, the neonate's eyes were covered using cotton gauze and adhesive tapes that potentially damaged the skin as commercially available eye covering was not in stock. Therefore, eye covering was not changed and when the eye covering was removed almost 3 days after placement, insect larvae were noted in the patient's eyes and nose. Ophthalmologic evaluation revealed perforated corneal ulcer and uveal prolapse in the right eye resulting in complete blindness and corneal scarring of the left eye. The patient's clinical course was further complicated by an Enterobacter species bloodstream infection. This case highlights the importance of vector control as a major patient safety measure for neonatal units in warm climates. Flies had been observed in the room and mitigation measures included reducing fly populations through traps, screens, and removal of standing water and leftover food. Every mother and staff were sanitizing hands when entering the room and gowns were used. This case also reinforces the importance to conduct vigilant monitoring of patients, especially neonates with eyes covered during phototherapy. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Nakstad, Zandile, Gaebolae, Banda, Dinotshe, Imran and Gezmu.) |
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| فهرسة مساهمة: | Keywords: blindness; eye-covering during phototherpy; jaundice; ophthalmomyiasis; preterm neonate |
| تواريخ الأحداث: | Date Created: 20221017 Latest Revision: 20221019 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9557118 |
| DOI: | 10.3389/fped.2022.955212 |
| PMID: | 36245720 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-2360 |
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| DOI: | 10.3389/fped.2022.955212 |