Urogenital myiasis – An atypical presentation

Sayanti Paul; Purnima Upreti; Amrita Makhija; Ruchira Nautiyal

doi:10.4322/acr.2020.192

Clinical Case Report

Urogenital myiasis – An atypical presentation

Sayanti Paul; Purnima Upreti; Amrita Makhija; Ruchira Nautiyal

http://dx.doi.org/10.4322/acr.2020.192 Autops Case Rep, vol.11, e2020192, 2021

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Abstract

ABSTRACT: The infestation of the human body by maggots has been reported worldwide and occurs most commonly in people of lower socioeconomic status and poor personal hygiene. Urogenital is the rarest site of myiasis presentations. Here we report the case of a 20-year-old, sexually inactive female student who presented with a necrotic growth in the paraurethral region infested with numerous maggots. The lesion involved the urethra and the bladder base. She was treated with debridement and bladder irrigation. The cystoscopy and local examination performed 2 weeks after admission, confirmed the complete healing of the urogenital lesion. Managing this patient’s unique challenge was to assess the extent of the involvement and removal of all maggots from the deepest wound portion. The female internal and external urogenital myiasis is a very occasional and under-reported health hazard. Reporting such cases increases the public and physician awareness about the mode of presentation, right diagnosis, and available treatment options.

Keywords

Female Uro-genital Diseases, Myiasis, Urethral Diseases, Vaginal Discharge

References

1 Hope FW. On insects and their larvae occasionally found in the human body. Trans R Entomol Soc Lond. 1840;1840:256-71.

2 Noutsis C, Millikan LE. Myiasis. Dermatol Clin. 1994;12(4):729-36. http://dx.doi.org/10.1016/S0733-8635(18)30136-0. PMid:7805302.

3 Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25(1):79-105. http://dx.doi.org/10.1128/CMR.00010-11. PMid:22232372.

4 Rawat R, Seth S, Rawat R, Sinha S. Vulvar myiasis: a rare case report. Int J Reprod Contracept Obstet Gynecol. 2014; 3(3):857-9.

5 Faridnia R, Soosaraei M, Kalani H, et al. Human urogenital myiasis: a systematic review of reported cases from 1975 to 2017. Eur J Obstet Gynecol Reprod Biol. 2019;235:57-61. http://dx.doi.org/10.1016/j.ejogrb.2019.02.008. PMid:30784828.

6 Passos MRL, Varella RQ, Tavares RR, et al. Vulvar myiasis during pregnancy. Infect Dis Obstet Gynecol. 2002;10(3):153-8. http://dx.doi.org/10.1155/S1064744902000157. PMid:12625971.

7 Cilla G, Picó F, Peris A, Idígoras P, Urbieta M, Pérez Trallero E. Human genital myiasis due to Sarcophaga. Rev Clin Esp. 1992;190(4):189-90. PMid:1589615.

8 Passos MRL, Carvalho AVV, Dutra AL, et al. Vulvar myiasis. Infect Dis Obstet Gynecol. 1998;6(2):69-71. http://dx.doi.org/10.1002/(SICI)1098-0997(1998)6:2<69::AID-IDOG8>3.0.CO;2-2. PMid:9702589.

9 Soulsby H, Jones BL, Coyne M, Alexander CL. An unusual case of vaginal myiasis. JMM Case Rep. 2016;3(6):e005060. http://dx.doi.org/10.1099/jmmcr.0.005060. PMid:28348792.

10 Rasti S, Dehghani R, Khaledi HN, Takhtfiroozeh SM, Chimehi E. Uncommon human urinary tract myiasis due to Psychoda Sp. Larvae, Kashan, Iran: a case report. Iran J Parasitol. 2016;11(3):417-21. PMid:28127350.

11 Mondal PC, Mahato S, Chakraborty B, Sinha SK. First report of Oriental latrine flies causing vaginal myiasis in human. J Parasit Dis. 2016;40(4):1243-5. http://dx.doi.org/10.1007/s12639-015-0660-6. PMid:27876924.

Submitted date:
03/25/2020

Accepted date:
06/08/2020

Publication date:
12/08/2020

Urogenital myiasis – An atypical presentation

Sayanti Paul; Purnima Upreti; Amrita Makhija; Ruchira Nautiyal

Abstract

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