Vulvar myiasis

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.

Vulval myiasis: An unusual presentation of a rare entity in an adolescent female

“…The patients suffering from genital disease must be subjected to serology testing for syphilis and HIV infection. [ 1 ] Our patient apart from usual presenting features of maggot infestation such as itching, local excoriation and edema also had concomitant UTI. The main presenting symptom was retention of the urine which was due to the severe periuretheral edema and pain.…”

“…Furunculoid myiasis can be treated by the occlusion of the wound with vaseline or nail enamel thus making the larvae immobilized, hence easily removable. [ 1 ] Although use of turpentine oil has been used for maggots infestation elsewhere in body, we have used it successfully in genital myiasis.…”

“…These fly larvae commonly known as maggots can invade healthy tissues leading to furunculoid or primary myiasis as well as necrotic tissues leading to cavitary or secondary myiasis. [ 1 ]…”

Urogenital myiasis caused by Psychoda albipennis

“…In patients with urogenital myiasis, symptoms often manifest as dysuria, polyuria, hematuria, flank pain, or vomiting. 2 , 15 , 16 Urogenital myiasis can be misdiagnosed as an obstructing ureteral stone. 6 Our patient did not present with any of these symptoms.…”

Human genital myiasis: A rare case from Western Thar region

“…[1] Injury, immunodeficiency, unhygienic conditions, and psychiatric disturbances are risk factors for acquiring ectoparasitic infections. [2] Genital myiasis is a rare condition with very few published reports.…”