Abstract
Myiasis is a parasitic infestation caused by the larvae of several fly species. Diagnosis and treatment are simple. The location of this infestation at the vulvar area is, however, an extremely rare occurrence. The authors present two cases of vulvar myiasis affecting pregnant women. The first case is a 19-year-old pregnant girl with vulvar myiasis and concomitant syphilis, vaginal trichomoniasis and genital candidiasis. The patient was also HIV-positive. The second case is a 17-year-old pregnant girl with vulvar myiasis associated with extensive vulvar condyloma acuminatum lesions.
Highlights
Myiasis is a parasitic infestation caused by the larvae of several fly species
The patient underwent a clinical examination at the Sexually Transmitted Diseases (STD) sector of the Fluminense Federal University after presenting at two other public medical centers where she was not examined
Follow-up was done at our STD clinic where, two weeks after surgery, material for fresh and stained cytopathology was collected
Summary
The first case is a 19-year-old pregnant girl with vulvar myiasis and concomitant syphilis, vaginal trichomoniasis and genital candidiasis. The patient underwent a clinical examination at the Sexually Transmitted Diseases (STD) sector of the Fluminense Federal University after presenting at two other public medical centers where she was not examined. She did not allow a physical examination in those clinics, probably because she was in pain and very nervous. At this point the patient’s menstrual period was late Her pregnancy test was positive and she was directed to a prenatal service where she received anti-retroviral medication according to international protocol for pregnancy. She had a normal delivery; the baby was alive and healthy without treponemic or HIV infection
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