Urogenital myiasis - An atypical presentation

Area of Science:

• Medicine
• Parasitology
• Urology

Background:

• Myiasis, the infestation of human or animal tissue by fly larvae (maggots), is globally reported.
• Urogenital myiasis is an exceptionally rare presentation, often associated with poor hygiene and lower socioeconomic status.
• This case highlights a rare instance in a young, sexually inactive female student.

Observation:

• A 20-year-old female presented with a necrotic paraurethral growth.
• The lesion extended to involve the urethra and bladder base, with numerous maggots observed.
• The patient was sexually inactive, challenging typical risk factor associations.

Findings:

• The patient underwent surgical debridement and bladder irrigation for maggot removal.
• Cystoscopy and local examination two weeks post-admission confirmed complete healing of the urogenital lesion.
• Successful management involved precise assessment of maggot infestation extent and thorough removal from deep wound areas.

Implications:

• This case underscores the importance of considering urogenital myiasis even in atypical patient demographics.
• Accurate diagnosis and prompt, aggressive treatment including debridement and irrigation are crucial for favorable outcomes.
• Reporting such rare cases enhances physician and public awareness regarding diagnosis and management of urogenital myiasis.