Vulvar Myiasis During Pregnancy

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.

First report of Oriental latrine flies causing vaginal myiasis in human

“…It is extremely rare in humans (Passos et al 2002). Though in rural north India it is not uncommon to see vulvovaginal myiasis.…”

Myiasis in Children: Fly Larval Infestation

“…It occurs predominantly in rural areas and is associated with poor hygiene and low educa onal level 1,2 . It is also common in children 1 .…”

“…It occurs predominantly in rural areas and is associated with poor hygiene and low educa onal level 1,2 . It is also common in children 1 . Human myiasis can be classifi ed based on clinical condi on it causes like cutaneous myiasis, ocular myiasis, urogenital myiasis and intes nal myiasis 2 .…”

“…The most common species that infest wounds in USA is found to be Phaenicia sericata 4 . The fl y species that infest healthy ssue are called Biontophages and responsible for the cutaneous forms of this condi on (furunculoid myiasis) 1 . Complica ons include secondary infec ons and tetanus.…”

“…Risk factors for human myiasis are poor hygiene, low educa on level and immunocompromised individuals 1 . Human myiasis can be classifi ed based on clinical condi on causing cutaneous myiasis, ocular myiasis, urogenital myiasis and intes nal myiasis 2 …”