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Intestinal myiasis.

U S Udgaonkar¹, R Dharamsi, S A Kulkarni

¹Department of Microbiology, Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli, Maharashtra, India.

Indian Journal of Medical Microbiology

|August 14, 2012

Summary

This summary is machine-generated.

Intestinal myiasis, a fly larvae infestation of the gastrointestinal tract, is often misdiagnosed. Early identification by clinical microbiologists is crucial to prevent incorrect treatments for this condition.

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Area of Science:

Medical Entomology
Clinical Microbiology
Parasitology

Background:

Intestinal myiasis involves fly larvae inhabiting the human gastrointestinal tract.
Ingestion of fly eggs or larvae on food leads to this infestation.
Symptoms can range from mild to severe and are often mistaken for pinworm infections.

Purpose of the Study:

To report on cases of intestinal myiasis.
To highlight the importance of accurate diagnosis by clinical microbiologists.
To differentiate intestinal myiasis from other parasitic infections like pinworm infestation.

Main Methods:

Analysis of 7 cases of intestinal myiasis.
Rearing larvae to adult flies in a modified meat and sand medium for identification.
Utilizing a simple, laboratory-prepared rearing medium.

Main Results:

Five of the seven identified larvae were Sarcophaga haemorrhoidalis.
One larva was identified as Megaselia species.
One larva was identified as Muscina stabulans.

Conclusions:

Sarcophaga haemorrhoidalis is the most common fly species causing intestinal myiasis.
A high index of suspicion is necessary for clinical diagnosis, especially when patients pass wriggling worms without response to antihelminthics.
Prevention through avoiding food accessible to flies is paramount; the cause of prolonged illness and recurrence requires further investigation.