Document Type : Case Report(s)
Authors
1 Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Drug Transporter and Permeability, Cyprotex Discovery Ltd. Aldery Edge, Cheshire, England
4 Health Center No. 2, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Myiasis is a parasitic infestation of fly larvae caused by dipterous larvae that live in the host’s dead or living tissues. This study reported the first case of urogenital myiasis in infants from Iran caused by Lucilia sericata. The 10-month-old boy was taken to the hospital by his mother due to restlessness and abdominal pain. During the examination, motile and live larvae were observed in the penis area. The patient had no history of infectious disease or immune system deficiency, and his blood tests were normal. The entomological analysis found that the source of this myiasis was Lucilia sericata fly larvae.
The report of such cases highlighted the importance of physical examination and the awareness of physicians in dealing with myiasis, as well as the necessity of educating mothers on the hygiene of the living environment and child care in rural areas.
Keywords
- Smith KG. A manual of forensic entomology. London: British Museum; 1986. 205p
- Kettle DS. Medical and veterinary entomology. London: Croom Helm Ltd; 1984.
- Holloway BA. Morphological characters to identify adult Lucilia sericata (Meigen, 1826) and L. cuprina (Wiedemann, 1830)(Diptera: Calliphoridae). New Zealand Journal of Zoology. 1991;18:413-20. doi: 10.1080/03014223.1991.10422847.
- Daniel M, Sramova H, Zalabska E. Lucilia sericata (Diptera: Calliphoridae) causing hospital-acquired myiasis of a traumatic wound. J Hosp Infect. 1994;28:149-52. doi: 10.1016/0195-6701(94)90141-4. PubMed PMID: 7844348.
- Martinez-Rojano H, Huerta H, Hernandez-Triana LM, Ruiz Perez EF, Samano R. Nosocomial Myiasis Caused by Lucilia sericata (Diptera: Calliphoridae) in a Pediatric Patient in Mexico. Case Rep Infect Dis. 2020;2020:1285459. doi: 10.1155/2020/1285459. PubMed PMID: 32082658; PubMed Central PMCID: PMCPMC7008277.
- Hazratian T, Dolatkhah A, Akbarzadeh K, Khosravi M, Ghasemikhah R. A Review of Human Myiasis in Iran With an Emphasis on Reported Cases. Malaysian Journal of Medicine & Health Sciences. 2020;16.
- Faridnia R, Soosaraei M, Kalani H, Fakhar M, Jokelainen P, Zolfaghari Emameh R, 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. doi: 10.1016/j.ejogrb.2019.02.008. PubMed PMID: 30784828.
- Jones N, Whitworth T, Marshall S. Blow flies of North America: Keys to the subfamilies and genera of Calliphoridae, and to the species of the subfamilies Calliphorinae, Luciliinae and Chrysomyinae. Canadian Journal of Arthropod Identification. 2019.
- Sher A, Latif SA. First case of nosocomial nasal myiasis caused by Chrysomya bezziana in Kuwait. Open Access Library Journal. 2022;9:1-5. doi: 10.4236/oalib.1109256.
- Martins LGV, Barbosa TM, Gama RA. Myiasis in humans: Case reports in Northeastern Brazil including multispecies co-infestation by Sarcophagidae. Parasitol Int. 2021;85:102436. doi: 10.1016/j.parint.2021.102436. PubMed PMID: 34389491.
- Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25:79-105. doi: 10.1128/CMR.00010-11. PubMed PMID: 22232372; PubMed Central PMCID: PMCPMC3255963.
- Salimi M, Goodarzi D, Karimfar M, Edalat H. Human Urogenital Myiasis Caused by Lucilia sericata (Diptera: Calliphoridae) and Wohlfahrtia magnifica (Diptera: Sarcophagidae) in Markazi Province of Iran. Iran J Arthropod Borne Dis. 2010;4:72-6. PubMed PMID: 22808392; PubMed Central PMCID: PMCPMC3385545.
- Mullen GR, Durden LA. Medical and veterinary entomology. Cambridge: Academic press; 2009.
)