Abstract
Aims & Objectives:Describe a case of urinary myiasis. Establish the phatophisiology of urinary myasis Methods: Observational, descriptive Results: A 13-year old female, belonging to a group of explorers who 2 weeks prior to her current condition visited Tepoztlan, Mexico, where she swam in a river. Emergency admission due to somnolence of 4 days of evolution without eating; she was found with bradypsychia, bradylalia, hallucinations and delirium; with, increased osteotendinous reflexes, and bilateral positive Babinsky. Laboratory tests ruled were compatible with viral encephalitis but PCRs for virus were negative; MRI reported extra-axial with only leptomeningeal reinforcement; EEG was observed diffusely slow only. On the second day the urinary catheter was removed, showing abundant larvae; she was sent to the National Institute Salvador Zubirán where larvae were identified as Clogmia (Telmatoscopus albipunctata). Three cycles of Ivermectin treatment were given with an interval of 7 days. The patient recovered completely.Conclusions: In Mexico, there are few documented of myasis cases, with skin predominance. When occurring mainly in rural areas, its presentation is not usual and there are no characteristic data, only the documentation of the larva. This case is the fourth reported worldwide for Telmatoscopus albipunctata in urinary tract, (Egypt and iran) as well as being the first case reported in Mexico. We recommend that due to difficult and infrequent cases the larvae be properly documented and analyzed in institutions with experience in the identification of zoonoses.
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