Abstract
Myiasis is a parasitic infestation caused by larvae of several fly species. Diagnosis and treatment are simple. This infestation is, however, rarely seen in the vulvar area. We present a short review of the disease and the case of a 19-year-old pregnant girl with vulvar myiasis and concomitant syphilis, vaginal trichomoniasis and genital candidiasis. The patient was also positive for human immunodeficiency virus.
Highlights
IntroductionHuman myiasis is produced by fly larvae capable of penetrating healthy or necrotic human tissue and cavities
HUMAN MYIASISMyiasis is a disease of medical and veterinary importance, in the tropical and subtropical regions where the causative fly species are common.Human myiasis is produced by fly larvae capable of penetrating healthy or necrotic human tissue and cavities
We report the case of a pregnant patient with concomitant genital myiasis, syphilis, trichomoniasis, genital candidiasis and human immunodeficiency virus (HIV) infection
Summary
Human myiasis is produced by fly larvae capable of penetrating healthy or necrotic human tissue and cavities. Those that invade healthy tissue are called biontophage species and are responsible for the cutaneous form (myiasis furunculoides). This group comprises Dermatobia hominis (the most frequent), Cochilomya hominovarax, and Oestrus ovis. The necrotic tissue-invading group includes the genera Sarcophaga, Lucilia, Callitroga, Musca, and the Muscida Fannia species, which causes cavitary myiasis. In furunculoid or primary myiasis the maggots penetrate the skin, leading to painful inflammatory nodules with fistulae.
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