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Urogenital myiasis caused by Psychoda albipennis in a child
Ayşegül Doğan Demir1, Meryem Iraz2, Duygu Neval Sayın İpek3
1Department of Pediatrics, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey.
Insights
A rare case of urogenital myiasis in a 10-year-old girl is presented, where fly larvae infected the urinary tract. This highlights the importance of thorough diagnosis for this uncommon parasitic disease in children.
Area of Science:
- Parasitology
- Pediatric Medicine
- Urology
Background:
- Urogenital myiasis is a rare condition caused by fly larvae infesting the urinary tract.
- It can present with symptoms like dysuria, genital itching, and visible larvae in urine.
- Previous treatments for pinworm infection were noted in this pediatric case.
Observation:
- A 10-year-old female presented with painful urination, genital pruritus, and observed larvae in her urine.
- A 24-hour urine sample revealed two fourth-stage larvae identified as Psychoda albipennis.
- No specific risk factors for myiasis were identified in the patient.
Findings:
- The case confirms a rare instance of urogenital myiasis in a child.
- Larvae of Psychoda albipennis were identified as the causative agent.
- The condition occurred despite the patient's favorable hygiene and socioeconomic status.
Implications:
- This case underscores the need for increased awareness of myiasis in pediatric populations.
- It emphasizes the importance of detailed patient history and appropriate laboratory investigations to avoid diagnostic delays.
- Urogenital myiasis can affect individuals across different hygiene and socioeconomic levels.
Abstract:
Urogenital myiasis results when flies lay their eggs near the exit of the urethra and the larvae proceed upward along the urogenital tract. In this case report, a 10 year-old female patient diagnosed with urogenital myiasis was reported. The patient presented with complaints including painful and frequent urination, genital pruritus and moving larvae in urine. The patient had received Enterobius vermicularis treatment previously for two times. A 24-hour urine sample was collected and two black larvae were found in the urine. It was found that these larvae were fourth-stage larvae of Psychoda albipennis. Although there was no risk factor, the patient was affected with this rare parasitological disease. This case was presented to draw attention to myiasis in children. Myiasis may be observed in individuals with a favourable hygiene status and a high socioeconomical level. If a detailed history is not taken and appropriate laboratory tests are not performed, the diagnosis may be missed.
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