title: Myiasis of a perineal fistula.
abstract: We report a case of myiasis of a rectocutaneous fistula in a subject suffering from bone metastases after surgical resection of a neoplastic bladder. The fistula was infested by maggots identified as third-instar larvae of flies belonging to the family Sarcophagidae, genus Sarcophaga. The infestation was neither intestinal nor pseudointestinal; it was probably caused by a fly ovipositing on the fistula of the patient while having wound care at home, even though the possibility that the infestation might have occurred during hospitalization cannot be ruled out.
authors.affiliation: Interdisciplinary Center for Biomedical Research (CIR), Laboratory of Internal Medicine and Hepatology, University Campus Bio-Medico, Via Emilio Longoni 83, 00155 Roma, Italy. e.zardi@unicampus.it
authors.forename: E M
authors.initials: EM
authors.lastname: Zardi
authors.forename: A
authors.initials: A
authors.lastname: Iori
authors.forename: A
authors.initials: A
authors.lastname: Picardi
authors.forename: S
authors.initials: S
authors.lastname: Costantino
authors.forename: V
authors.initials: V
authors.lastname: Petrarca
mesh_terms: D000818:Animals; D001859:Bone Neoplasms / Q000556:secondary; D017577:Cutaneous Fistula / Q000150:complications* / Q000469:parasitology; D004175:Diptera / Q000254:growth & development; D006801:Humans; D007814:Larva; D008297:Male; D008875:Middle Aged; D009198:Myiasis / Q000150:complications*; D011183:Postoperative Complications / Q000469:parasitology*; D012003:Rectal Fistula / Q000150:complications* / Q000469:parasitology; D001749:Urinary Bladder Neoplasms / Q000601:surgery