1/5. Cordylobia anthropophaga mastitis mimicking breast cancer: case report.A case of furuncular myiasis of the breast due to infestation by the larva of Cordylobia anthropophaga in a young lady is presented. Some of the physical presentations of Cordylobia anthropophaga mastitis are similar to those of carcinoma of the breast. High index of suspicion in endemic areas, including patients who had visited such areas, the characteristic intense itching of the affected breast, the use of the magnifying hand lens and subsequent extraction of the offending maggots are the invaluable aids to diagnosis and treatment. The ulcer left on the breast after extraction of the maggot should be biopsied and the associated ill defined mass and skin changes must be seen to resolve completely before carcinoma of the breast can be safely ruled out. The various methods of extraction and the preventive measures are highlighted. Though furuncular myiasis has been reported to involve every part of domestic animals, this is the first reported case in literature involving the human breast.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. Suspected intestinal myiasis due to Dryomyza formosa in a Japanese schizophrenic patient with symptoms of delusional parasitosis.A third-stage larva of Dryomyza formosa (Wiedemann) (diptera: Dryomyzidae) was found in the fresh stool of a 27-year-old Japanese woman resident of Shiobara, 150 km north of tokyo, on 16 November 1998. This is the first record of myiasis due to Dryomyza. Detection of this maggot (2cm long) by the patient herself was associated with her longstanding delusion of abdominal parasitosis as a symptom of chronic schizophrenia. Circumstantial evidence agreed with this being a genuine case of intestinal myiasis, apparently due to accidental ingestion of the insect, with no signs that the patient had contrived the report, nor that the maggot had invaded the stool post-defaecation. This case draws attention to the likelihood that some personality states are predisposed to noticing and reporting myiasis, when it occurs. We review other conditions (mental and physical) that are more prone to myiasis.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/5. Pelvic organ myiasis.BACKGROUND: myiasis is infestation with dipterous larvae, which feed on the host's dead or living tissue, liquid body substances, or ingested food. CASE: A 76-year-old, multiparous woman presented at a tertiary care hospital in india with vaginal discharge and itching for 3 weeks. The patient had a health care attendant who apparently failed to notice the problems she was experiencing. Pelvic examination revealed grade 2 uterine prolapse. vaginal discharge was purulent, foul smelling, and contained several 8-10-mm white maggots of Musca domestica (housefly). turpentine oil was instilled locally, and maggots were removed manually. The patient was treated with broad spectrum antibiotics. Maggot removal was repeated weekly for 3 weeks until no further maggots were present. hysteroscopy was normal. The prolapsed uterus was replaced in its anatomic position with vaginal pessary. CONCLUSION: Decreased physical and mental capabilities due to old age and poor care by health providers can lead to maggot infestation of prolapsed pelvic organs.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. "Flies in the flesh": a case report and review of cutaneous myiasis.Cutaneous myiasis is the infestation of tissue by the larvae of flies. There are many causes and they are geographically dependent. The clinical presentation is variable depending on the cause and the body part(s) affected, which can include skin, nasal, ocular, oral, aural, gastrointestinal, and genitourinary tracts. Treatment is complete removal of the larvae from the affected site. The ultimate goal is prevention. We briefly review a case report and then review definition, causes, clinical presentation, differential diagnosis, treatment, and prevention. Cutaneous myiasis reiterates the basics of clinical medicine, which require one to obtain a thorough history, including travel, potential risk exposure, and occupation, and to perform a complete physical examination of a patient with any suspicious lesion.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/5. Lucilia sericata (diptera: Calliphoridae) causing hospital-acquired myiasis of a traumatic wound.A case of traumatic nosocomial myiasis caused by the green bottle fly Lucilia sericata (Meigen, 1826) occurred in a patient hospitalized following a serious road traffic accident. The patient had suffered extensive polytrauma particularly in the facial area of the skull. A total of 50 larvae was discovered in the oral cavity, nose, paranasal sinuses and enucleated eye-socket. Projected timing indicated that the eggs were laid while the patient was hospitalized. The development of myiasis was facilitated by the mental and physical debility and dependency of the patient, numerous and deep facial necrotic wounds and a lengthy period of hot weather which led to prolonged open window ventilation of his room.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |