Intranasal myiasis: a rare complication of transnasal skull base surgery

J Clin Neurosci. 2013 Aug;20(8):1178-80. doi: 10.1016/j.jocn.2012.09.028. Epub 2013 May 10.


A 57-year-old woman with a history of atypical intracranial meningioma had undergone multiple craniotomies and endoscopic skull base procedures over several years. She presented most recently with nasal discharge consisting of intranasal larvae. Isolated organisms from the nasal cavity and maxillary sinus were identified as blow fly larvae (Calliphoridae family). The patient was treated with transnasal debridement and antibiotic therapy. The organisms were successfully eradicated and she is free from further signs of infection. Intranasal myiasis is an unusual complication of anterior skull base surgery.

Keywords: Brain infection; Endonasal; Endoscopic; Maggot; Myiasis; Skull base; Transnasal.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Craniotomy / adverse effects*
  • Endoscopy / adverse effects*
  • Female
  • Humans
  • Meningeal Neoplasms / surgery
  • Meningioma / surgery
  • Middle Aged
  • Myiasis / drug therapy
  • Myiasis / etiology*
  • Myiasis / surgery
  • Nasal Cavity / parasitology*
  • Nasal Cavity / surgery
  • Nasal Lavage / adverse effects*
  • Paranasal Sinuses / parasitology
  • Skull Base Neoplasms / surgery