Unusual MRI findings in a patient with history of frontal fracture and skin infestation by fly larvae, as a possible sign of intracerebral myiasis.
We report a case of an 11-year-old columbian immigrant with mild non-specific cephalalgia. He had a previous history of frontal fracture and skin infestation caused by Dermatobia hominis larvae. MRI performed revealed multiple subependymal and intraventricular lesions with concentric blooming artifacts and moderate hydrocephalus. Based on his previous history, intracerebral myiasis diagnosis was suggested. His mother denied any kind of diagnostic surgery or treatment. To the best of our knowledge, this is the first MRI report of a possible intracerebral myiasis, an exceedingly rare entity.
Marco de Lucas
Enrique
E
Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, Spain. radmle@humv.es
Díez
Consuelo
C
Gutiérrez
Agustín
A
Montiaga
Fernando
F
Arnáiz
Javier
J
Mandly
Andrés González
AG
Sánchez
Elena
E
Valle
Natalia
N
D000818:Animals; D002540:Cerebral Cortex / Q000469:parasitology / Q000473:pathology*; D002648:Child; D006801:Humans; D007814:Larva / Q000254:growth & development; D008279:Magnetic Resonance Imaging; D008297:Male; D009198:Myiasis / Q000175:diagnosis / Q000469:parasitology / Q000473:pathology*; D012876:Skin Diseases, Parasitic / Q000150:complications / Q000473:pathology*; D012887:Skull Fractures / Q000209:etiology