[Cutaneous myiasis by Cochliomyia hominivorax (Coquerel) (Diptera Calliphoridae) in Hospital Universidad del Norte, Soledad, Atlántico].
Human myiasis is the parasitism of human tissues by fly larvae. Diagnoses are based on clinical pattern of tissue damage and presence of insect stages. Herein, a case myiasis is described in a seven-year-old female child. She presented with fever associated with abscessed scalp lesions containing exposed larvae. Severe pediculosis was also observed. The patient was hospitalized and treated with clindamycin, gentamicin (for bacterial secondary infections) and ivermectin (treatment for lice) after which the patient showed clinical improvement and was discharged four days later. Since human myiasis can be caused by a number of different species, larvae were collected from the patient and identified as those of Cochliomyia hominivorax (Diptera: Calliphoridae). Because other cases of coinfestation of flies and lice are on record, health workers are to be alerted about the possible pediculosis-myasis risk.
de la Ossa
Napoleón
N
Grupo de Investigaciones en Enfermedades Tropicales, Departamento de Medicina, División Ciencias de la Salud, Universidad del Norte, Barranquilla, Colombia.
Castro
Luis Eduardo
LE
Visbal
Lila
L
Santos
Ana María
AM
Díaz
Esther
E
Romero-Vivas
Claudia M E
CM
D000038:Abscess / Q000188:drug therapy / Q000209:etiology; D000700:Analgesics / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000977:Antiparasitic Agents / Q000627:therapeutic use; D002648:Child; D002649:Child Abuse; D003105:Colombia; D003131:Combined Modality Therapy; D003646:Debridement; D004175:Diptera; D004359:Drug Therapy, Combination; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D022125:Lacerations / Q000382:microbiology / Q000469:parasitology; D010373:Lice Infestations / Q000150:complications / Q000188:drug therapy; D009198:Myiasis / Q000150:complications / Q000188:drug therapy / Q000469:parasitology* / Q000601:surgery; D012535:Scalp / Q000293:injuries / Q000469:parasitology*; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000209:etiology; D013045:Species Specificity
D000700:Analgesics; D000900:Anti-Bacterial Agents; D000977:Antiparasitic Agents; D007559:Ivermectin