Synanthropic Clogmia albipunctata Causing Urogenital and Gastrointestinal Myiasis

Being a synanthropic cosmopolitan fly of tropical origin, Clogmia albipunctata is an aquatic species that is commonly found in moisture-rich places such as inside a house, sewage treatment plants, and hospitals. C. albipunctata can cause urogenital, intestinal, and even nasopharyngeal accidental myiasis under non-hygienic conditions or if a person consumes substandard food. Its larvae enter the human body via bodily cavities such as rectum, genitalia, or urinary canal, thereby leading to the development of infestation. This can in turn cause haematuria, bloody stool, vomiting and fever, with the appearance of larvae in urine and faeces. Here, we present the case of a 43-year-old woman with infection in the urogenital and gastrointestinal systems by the fourth instar larvae of C. albipunctata. To the best of our knowledge, this is the first report of myiasis caused by this species in Turkey. This study will provide general information about the biology of this species and methods to recognize it.