{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T03:12:21Z","timestamp":1789269141869,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Myiasis can be particularly debilitating in pediatric patients with neurological impairments, as communication challenges in expressing symptoms may delay diagnosis and appropriate treatment. We report a case of palatal myiasis in a young Latin American patient with neurological deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>A 16\u2010year\u2010old female with a history of severe meningitis, which resulted in neurological sequelae including spastic paralysis and epilepsy, presented with an oral lesion in the buccal cavity and episodes of fever. Upon admission, she was diagnosed with bacterial pneumonia, multiple foci of myiasis in the hard and soft palate, and dyspnea caused by larval migration to the oropharyngeal region. Larvae were manually removed, and the patient was treated with intravenous ceftriaxone, clindamycin, and ivermectin. Nitrofurazone paste was also applied topically. Four days later, surgical debridement was performed to remove necrotic mucosa from the palate. No further larvae were detected, and the patient's condition stabilized. The patient has been under follow\u2010up for 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Severe palatal myiasis is a rare condition that demands prompt diagnosis and a multidisciplinary approach. This case highlights the complexity of managing myiasis in patients with physical and cognitive disabilities, especially in unfavorable socioeconomic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70039","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T06:20:59Z","timestamp":1746512459000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe Palatal Myiasis in a Young Patient With Neurological and Physical Disabilities: A Case Report"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6714-4680","authenticated-orcid":false,"given":"Marcelo Santos","family":"Bahia","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Periodontology Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4013-7752","authenticated-orcid":false,"given":"Yuri de Lima","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Department of Stomatology School of Dentistry S\u00e3o Paulo University  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2336-9946","authenticated-orcid":false,"given":"Luan Viana","family":"Faria","sequence":"additional","affiliation":[{"name":"Department of Diagnosis and Surgery Araraquara School of Dentistry S\u00e3o Paulo State University (UNESP)  Ararquara S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7856-2228","authenticated-orcid":false,"given":"Alexandre Elias","family":"Trivellato","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Periodontology Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1629-3197","authenticated-orcid":false,"given":"Cassio Edvard","family":"Sverzut","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Periodontology Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2005.10.075"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/734234"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04577.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2021.07.006"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4314\/gmj.v54i3.8"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.05.026"},{"issue":"9","key":"e_1_2_11_8_1","first-page":"1","article-title":"Unusual Presentation of Nasal Myiasis in Immunocompetent Young Individual: Case Report","volume":"3","author":"Ravichandran K.","year":"2025","journal-title":"Indian Journal of Otolaryngology and Head & Neck Surgery"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000455379"},{"issue":"1","key":"e_1_2_11_10_1","first-page":"178","article-title":"Malnutrition and Its Oral Outcome\u2014A Review","volume":"7","author":"Sheetal A.","year":"2013","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.49.85"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-64402004000100015"},{"issue":"2","key":"e_1_2_11_13_1","first-page":"E130","article-title":"Oral Myiasis: A Case Report","volume":"11","author":"Abdo E. 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