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Pelvic organ myiasis
1Reproductive Research Unit, University of Pennsylvania, Philadelphia, Pennsylvania, USA. alkachaunik@yahoo.com
Obstetrics and Gynecology
|February 2, 2006
Summary
Elderly women with uterine prolapse are at risk for vaginal myiasis (fly larvae infestation), especially with inadequate healthcare. Prompt treatment involves maggot removal and antibiotics.
Area of Science:
- Medical Entomology
- Gynecology
Background:
- Myiasis is an infestation by dipterous larvae feeding on host tissues or substances.
- Uterine prolapse can create conditions conducive to infestations in the female reproductive tract.
Observation:
- A 76-year-old woman presented with vaginal discharge and itching due to Musca domestica (housefly) maggot infestation.
- Pelvic examination revealed uterine prolapse and purulent, foul-smelling discharge containing maggots.
Findings:
- Manual maggot removal, turpentine instillation, and broad-spectrum antibiotics were administered.
- Weekly maggot removal for three weeks eradicated the infestation.
- The prolapsed uterus was managed with a vaginal pessary.
Implications:
- Reduced physical/mental capacity and poor healthcare can lead to severe infestations in vulnerable populations.
- This case highlights the importance of vigilant healthcare for elderly patients with gynecological conditions.