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Urinary myiasis; a case report and literature review
Siavash Vaziri1, Zeinab Mohseni Afshar1, Mohammad-Bagher Rajabalian2
1Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Urology Case Reports
|March 19, 2025
Summary
Urinary myiasis, a rare condition where fly larvae infest the urinary tract, presents diagnostic difficulties. Early identification through urine analysis is key for effective management and preventing complications.
Area of Science:
- Urology
- Parasitology
- Medical Entomology
Background:
- Urinary myiasis is an uncommon condition involving fly larval infestation of the urinary tract.
- It presents diagnostic challenges due to nonspecific symptoms and low prevalence, often mimicking urinary tract infections.
Observation:
- A 52-year-old woman presented with persistent dysuria and urinary frequency, unresponsive to standard treatments.
- Cystoscopy showed inflammation and debris, while conventional tests were inconclusive.
- A live fly larva was detected during urinalysis, confirming urinary myiasis.
Findings:
- The definitive diagnosis of urinary myiasis was established by identifying a live larva in the urine sample.
- Standard diagnostic workups, including imaging and laboratory tests, were unremarkable.
Implications:
- Prompt recognition of urinary myiasis is essential for appropriate management and to avoid potential complications.
- Improved hygiene and hydration were the primary treatment interventions.
- Increased awareness is crucial for healthcare providers, especially in regions with poor sanitation or in patients with urinary tract abnormalities.
