Chronic Multi-Orifice Myiasis: A Case Report in a Displaced Pediatric Patient

Introduction: Myiasis is the infestation of live human or animal tissues by dipterous larvae. Nasopharyngeal and multi-orifice infestations are rare, particularly in children. Case Presentation: We report the case of a 12-year-old male from Sudan, displaced to Port Sudan, who presented with a two-year history of flies emerging from his nose, mouth and ears. The infestation began after a fly entered his ear and was incompletely extracted. Later, he developed recurrent expulsion of both dead and live flies. The condition was socially stigmatizing and psychologically distressing. The Laboratory identification confirmed Musca domestica (common housefly) as the causative agent. Management and Outcome: The patient was treated with Ivermectin, Albendazole, and Clarithromycin with planned follow-up. The importance of hygiene, social support, and comprehensive management was emphasized. Conclusion: This case highlights an uncommon chronic presentation of myiasis in a vulnerable pediatric population and underscores the importance of early intervention and public health measures in displaced communities.