Atrophic Rhinitis with Maggot Infestation- A Demographic StudyCorrespondence Address :
Dr. Sumanth Kanjikar,
Laxmi Nivas, Vivekananda Nagar, Chidri Road, Bidar-585403, Karnataka, India.
Introduction: Atrophic Rhinitis is a chronic nasal condition characterized by atrophic changes in the nasal mucosa and the underlying bones. This leads to the formation of abnormally roomy nasal cavities, anosmia, foul smelling greenish crusts, epistaxis and occasionally maggot infestation in the nose. The present work has been undertaken to study the demographic features of Atrophic Rhinitis with maggots infestation (Myiasis) in a population in North Karnataka.
Aim: To study maggots infested Atrophic Rhinitis cases with respect to age and sex distribution, anaemia association, clinical (unilaterality/bilaterality) presentation and seasonal variation.
Materials and Methods: This is a retrospective study. As per the records maintained by OPD of ENT Department, Bidar Institute of Medical Sciences, Bidar., between 2006 and 2015, there were 190 reported cases of Atrophic Rhinitis. Of these, 33 cases showed maggots infestation and were admitted for treatment. The detailed records of these patients were available and collected. They make our study group. The patients of Atrophic Rhinitis without Nasal Myiasis were treated on outpatient basis. Details of age, sex, unilaterality, bilaterality, with /without anaemia, seasons, were tabulated and observations discussed.
Results: Prevalence of maggots infested Atrophic Rhinitis cases was 17.4%. Maximum number of cases was seen in the age groups of 45-64 years and 65 years and above. Female predilection was seen female:male ratio of 3.1:1. Rural living conditions and anaemia proved to be playing a role in its higher prevalence. With respect to seasonal variation, more number of maggots infested Atrophic Rhinitis cases were clustered around the months of October, November and December.
Conclusion: Atrophic Rhinitis with nasal myiasis is multifactorial disease having a female predilection, association with older age group, poor nutrition and anaemia. Patients from rural area are more prone for nasal myiasis. It also shows a seasonal variation with more incidences in the relatively cooler months of October, November and December.
Anaemia, Anosmia, Ozena, Nasal myiasis, Rural, Socioeconomic status
Sumanth Kanjikar, Rajkamal Malige, Ravi Udgir, Nagraj V.V, Jyothi Tugave, Vinod Sawalgi. ATROPHIC RHINITIS WITH MAGGOT INFESTATION- A DEMOGRAPHIC STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 17 ]; 11:MC05-MC08. Available from
Date of Submission: Dec 01, 2016
Date of Peer Review: Feb 26, 2017
Date of Acceptance: Aug 21, 2017
Date of Publishing: Nov 01, 2017
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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