Article

Tratamento da miíase humana cavitária com ivermectina oral

Revista Brasileira de Otorrinolaringologia 01/2001; DOI: 10.1590/S0034-72992001000600002
Source: DOAJ

ABSTRACT Introdução: Miíase humana é uma ocorrência relativamente comum e, no mínimo, constrangedora, quer seja para os pacientes ou para o médico que o atende. É bem mais freqüente nos países subdesenvolvidos e tropicais, mas há casos descritos em todas as regiões do Planeta. Normalmente, afeta pacientes doentes, idosos e deficientes mentais, mas pode ocorrer em pacientes tróficos e saudáveis. As larvas depositam seus ovos em tecidos doentes e necróticos, mas podem fazê-lo em zonas do corpo aparentemente sãs. Seu tratamento consiste na catação das larvas, um processo desagradável e doloroso, muitas vezes impossÍvel em regiões cavitárias. Alguns produtos foram usados no sentido de facilitar esse procedimento, sem grandes resultados. Forma de estudo: Prospectivo randomizado. Método: Neste trabalho, foi feito, em sete pacientes, o tratamento da miíase cavitária humana com ivermectina oral (até 300 µg/kg), medicamento já usado para o tratamento de outras doenças. Os pacientes foram submetidos a provas de função hepática e renal pré e pós-tratamento, e acompanhados clinicamente. Resultados: Todos os pacientes tiveram as larvas eliminadas; e nenhuma anormalidade, nos exames.

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