Orbital myiasis caused by green bottle fly

Misra, Neeta; Gogri, Pratik; Misra, Somen; Singh, A. J. A. R.; Ingale, Ashish

doi:10.4066/amj.2013.1848

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…was found to be the causative agent from Korea by Kim et al (2011). L. sericata, the green bottle fly, was also found to be associated with external ophthalmomyiasis in various cases (Misra et al 2013;Kalezic et al 2014;Choi et al 2015). Reports on use of ivermectin in the treatment of orbital myiasis caused by C. hominivorax had been reported (De et al 2004;Osorio et al 2006).…”

Section: Ophthalmomyiasis Externamentioning

confidence: 91%

Incidence of myiasis among humans—a review

Singh

2015

Parasitol Res

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Myiasis, the infestation of tissues of live humans and other vertebrate animals with dipteran larvae (maggots), is a phenomenon of widespread occurrence throughout the tropical regions of the world. It is commonly seen in domestic and wild animals but occurs rarely in man also. The tissue invasion in man by maggots is generally a well-recognized complication of neglected wounds. The condition may be asymptomatic but occasionally results in more or less severe problems and even death when larvae invade body cavities or areas that forbid their direct visual examination. Many cases of myiasis, however, usually do not reach the attention of medical practitioners because of the tendency of the mature larvae to migrate out of the lesion for pupation. In the present study, the authors reviewed the past literature describing the cases of human myiasis, causative fly species and predisposing factors for the onset of the same. The aim of the present manuscript is to provide a database for the future reference of medical entomologists, medical practitioners and veterinarians. Review of literature revealed that 37 fly species belonging to ten families were responsible worldwide for the onset of human myiasis. The incidence of myiasis among humans can be correlated to increasing fly populations, poor hygienic conditions and presence of domestic animals in the close vicinity. Other factors responsible for myiasis include neglected open wounds and foul-smelling discharge from natural body openings. Moreover, ignorance plays a key role in its occurrence since people are generally unaware about the actual cause and often correlate the condition to their superstitious beliefs. It is emphasized that the patients should not neglect their wounds and should take proper medical care; otherwise, myiasis may supervene.

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Section: Ophthalmomyiasis Externamentioning

confidence: 91%

Incidence of myiasis among humans—a review

Singh

2015

Parasitol Res

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“…[1,3] Typically, people of low economic means and those who have poor hygiene have increased susceptibility—these populations include, but are not limited to, homeless, alcoholics, low-income farmers, and those who lack needed assisted care (i.e., elderly, paraplegics, etc.). [1,3–8] Due to higher likelihood of parasitic flies in their area of residence, those who live in close proximity to livestock are at increased risk of myiasis as well. [8] In the past, myiasis was thought to be almost exclusively associated with tropical and subtropical regions, but in recent years, more literature has begun to surface about cases in temperate climates.…”

Section: Introductionmentioning

confidence: 99%

“…[1,3–8] Due to higher likelihood of parasitic flies in their area of residence, those who live in close proximity to livestock are at increased risk of myiasis as well. [8] In the past, myiasis was thought to be almost exclusively associated with tropical and subtropical regions, but in recent years, more literature has begun to surface about cases in temperate climates. [1,3] As with any sort of infestation of parasites, myiasis causes concerns for the possibility of secondary bacterial infection, since certain species of fly and their larvae harbor associated bacteria.…”

Section: Introductionmentioning

confidence: 99%

Myiasis-induced sepsis: a rare case report of Wohlfahrtiimonas chitiniclastica and Ignatzschineria indica bacteremia in the continental United States

et al. 2018

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Rationale:The presentation of sepsis and bacteremia in cutaneous and cavitary myiasis is uncommon. We present a patient, residing in a temperate region of the United States, with myiasis and sepsis from the emerging human pathogens Wohlfahrtiimonas chitiniclastica and Ignatzschineria indica.Patient concerns:A 37-year-old male patient with an 8-month history of chronic lymphedema and ulcers of the lower left extremity presented with myiasis of the left foot and leg. The patient was initially seen by his family practitioner many times and was prescribed antibiotics which he could not afford. Debridement of the myiasis was not conducted by the family practitioner due to the belief that the patient's current state of myiasis would effectively debride and eventually heal the chronic ulcers along with multiple antibiotic regimens. Over the 8-month period, the patient developed a progressive, painful, necrotizing infection of his lower left extremity.Diagnoses:Physical examination clearly showed myiasis of the patient's lower left extremity, believed to be caused by Lucilia sericata (green bottle fly). Blood cultures revealed the presence of Providencia stuartii, W chitiniclastica, and I indica to be the underlying cause of sepsis and bacteremia.Interventions:All visible maggots were extracted, debridement of devitalized tissue was performed, and the leg ulcers were wrapped in pH neutral bleach. The patient was initially treated with a broad-spectrum antibiotic regimen of vancomycin, clindamycin, piperacillin, and tazobactam which, following clinical improvement, was de-escalated to cefepime.Outcomes:The fly larvae and maggots were removed from the extremity by scrubbing, pulse lavage, and filing away the callused tissue. Additionally, the patient's sepsis and bacteremia, caused by W chitiniclastica and I indica, were successfully treated through antibiotic intervention. Amputation was avoided.Lessons:The use of pulse lavage and chlorhexidine-soaked brushes for the removal of cavitary myiasis is an effective and minimally invasive procedure which does not cause additional damage to surrounding tissue. W chitiniclastica and I indica are emerging bacteria that have known association to parasitic fly myiasis in humans and are capable of causing sepsis and/or bacteremia if not accurately identified and treated promptly.

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Two different myiasis cases in southeast of Turkey: ophthalmomyiasis and cutaneous myiasis

et al. 2015

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Myiasis has become increasingly prevalent, particularly when human activity is carried out in environments with poor hygiene. We reported two cases of human myiasis in this paper. All of myiasis cases initially presenting to the Emergency Department of Kilis State Hospital in Turkey were identified. We present one case of ophthalmomyiasis caused by Oestrus ovis and one case of cutaneous myiasis caused by Lucilia sericata. Both of the myiasis cases were reported from rural area case limiting the exposure to adult flies and exterminating the flies will play important role in preventing the myiasis.

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Orbital myiasis caused by green bottle fly

Cited by 8 publications

References 5 publications

Incidence of myiasis among humans—a review

Incidence of myiasis among humans—a review

Myiasis-induced sepsis: a rare case report of Wohlfahrtiimonas chitiniclastica and Ignatzschineria indica bacteremia in the continental United States

Two different myiasis cases in southeast of Turkey: ophthalmomyiasis and cutaneous myiasis

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