A Case Of Vulvar Myiasis

Authors

  • Bishwa Raj Dawadi Department of Emergency Medicine, Institute of Medicine, Kathmandu, Nepal.
  • Mingma Temba Sherpa Department of Medicine, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.
  • Rakshya Shrestha Department of Medicine, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.

DOI:

https://doi.org/10.31729/jnma.2748

Keywords:

external genitalia; female; maggots; myiasis.

Abstract

Myiasis is occurs in humans and vertebrate animals mostly due to dipterous flies of the genera Chrysomyia and Cochliomyia. There have been reported cases of myiasis of skin, breast, intestine, eyes and ear but very few cases of vulvar myiasis have been reported in the medical literature. We report a case of a 20 years old female with vulvar myiasis. A 20-year old unmarried girl presented to our hospital with complains of vaginal discharge and vulvar irritation for 3 days with evidence of some worms around her vulvar region. Her menstrual history revealed the use of folded cloths instead of sanitary pads during her menstruation. Moreover, she washed those clothes with water and hanged them in the clothesline outside to let them dry before reuse. Examination of the external genitalia multiple ulcers measuring 1X1 cm on the inner surface of the labia minora, heavily infested with large number of maggots. The patient was admitted for 4 days during which she was given antibiotics, analgesics and anti-inflammatory medication. Daily local asepsis of the wound with antiseptic solution (betadine) was done. We removed more than 30 larvae by the fourth day after which no more larvae were seen and she gradually recovered in the following days. It is our opinion that the cause of vulvar myiasis in our patient was her poor sanitary hygiene. Simple measures such as washing clothes thoroughly, drying and ironing of clothes are also necessary to reduce the risk of this human myiasis.   Keywords: external genitalia; female; maggots; myiasis.  

References

Aguilera A, Cid A, Regueiro BJ, Prieto JM, Noya M. Intestinal
myiasis caused by Eristalis tenax. J Clin Microbiol. [Case
Reports Letter]. 1999 Sep;37(9):3082.
2. Adehossi E, Parola P. A woman with a skin lesion. Myiasis.
Clin Infect Dis. [Case Reports]. 2009 Jun 1;48(11):1584, 628-9.
3. Adisa CA, Mbanaso A. 'Furuncular myiasis of the breast
caused by the larvae of the Tumbu fly (Cordylobia
anthropophaga)'. BMC Surg. 2004;4:5.
4. Slesak G, Inthalad S, Strobel M, Marschal M, Hall M,
Jr., Newton PN. Chromoblastomycosis after a leech bite
complicated by myiasis: a case report. BMC Infect Dis. [Case
Reports Research Support, Non-U.S. Gov't]. 2011;11:14.
5. Ahmad NW, Ismail A, Jeffery J, Ibrahim S, Hadi AA, Ibrahim
MN, et al. Aural myiasis in a neonate in peninsular Malaysia.
Parasit Vectors. 2009;2(1):63.
6. Albert MA, Jr., Wells JR. Images in clinical medicine.
Ocular myiasis. N Engl J Med. [Case Reports]. 2008 Nov
13;359(20):e25.
7. Passos MR, Carvalho AV, Dutra AL, Goulart Filho RA,
Barreto NA, Salles RS, et al. Vulvar myiasis. Infect Dis Obstet
Gynecol. [Case Reports]. 1998;6(2):69-71.
8. Bhatt AP, Jayakrishnan A. Oral myiasis: a case report. Int J
Paediatr Dent. [Case Reports]. 2000 Mar;10(1):67-70.
9. Delir S HF, Emad M, Ardehali S. Vulvar myiasis due to
Wohlfahrtia magnifica. Clin Exp Dermatol. 1999;24(4):279-80.
10. Gopalakrishnan S, Srinivasan R, Saxena SK, Shanmugapriya
J. Myiasis in different types of carcinoma cases in southern
India. Indian J Med Microbiol. [Case Reports]. 2008
Apr-Jun;26(2):189-92.
11. Hyun DY, Cain MP, Blue-Hnidy DE, Conway JH. Urinary
myiasis associated with ureteral stent placements. Pediatr
Infect Dis J. [Case Reports]. 2004 Feb;23(2):179-81.
12. Granz W, Schneider D, Schumann H. [Human myiasis
in middle Europe]. Z Gesamte Inn Med. 1975 Apr
15;30(8):293-301.
13. Dahal K. Nepalese woman dies after banishment to shed
during menstruation. Bmj. 2008;337(a2520).
14. de Barros N, D'Avila MS, de Pace Bauab S, Issa FK, Freitas FJ,
Kim SJ, et al. Cutaneous myiasis of the breast: mammographic
and us features-report of five cases. Radiology. 2001
Feb;218(2):517-20.

Downloads

Published

2015-12-31

How to Cite

Dawadi, B. R., Sherpa, M. T., & Shrestha, R. (2015). A Case Of Vulvar Myiasis. Journal of Nepal Medical Association, 53(200), 288–290. https://doi.org/10.31729/jnma.2748

Issue

Section

Case Reports

Most read articles by the same author(s)