01146nas a2200157   4500000000100000008004100001260001200042100001400054700002600068700001200094700001300106700001200119245011600131520072700247022001400974       2019                            d  c12/20191 aSerafim R1 ado Espírito Santo RB1 aMello R1 aCollin S1 aDeps PD00aCase Report: Nasal Myiasis in an Elderly Patient with Atrophic Rhinitis Ozenosa and Facial Sequelae of Leprosy.3 a<p>We describe a case of nasal myiasis in an 89-year-old Brazilian patient affected by leprosy with severe nasal sequelae. An initial treatment comprising sinusectomy combined with nasal endoscope removed more than 300 larvae, supplemented by systemic treatment using oral and topical ivermectin and levofloxacin. Infestation recurred after 2 months, was treated similarly, and resolved completely. The case could be attributed to severe nasal leprosy sequelae, with a lack of sneezing reflex, painless ulceration, atrophic rhinitis ozenosa, and inability to clean the nose properly due to hand and nose impairment. This case illustrates the importance of long-term medical follow-up of patients with leprosy sequelae.</p>  a1476-1645