Pleural Myiasis Associated With Pleural Angiosarcoma.
Myiasis refers to a parasitic infestation of vertebrate mammals by dipterous larvae (maggots) of higher flies. Infections in humans typically occur in tropical and subtropical regions, regions with limited medical access, and areas with poor hygiene and living conditions. Infestations in humans have been described in subcutaneous, nasal, ocular, oropharyngeal, and orotracheal cases; however, reports of pulmonary myiasis in humans in the United States and other developed countries are extremely rare. We describe a patient with recently diagnosed primary pleural angiosarcoma who presented to our clinic for the management of a thoracostomy tube and was diagnosed with pleural myiasis.
Department of Internal Medicine, Saint Louis University School of Medicine, St Louis, MO. Electronic address: patelmb@slu.edu.
Mitesh B
MB
Patel
Department of Internal Medicine, Saint Louis University School of Medicine, St Louis, MO.
Kurt
K
Munzer
Saint Louis University School of Medicine, St Louis, MO.
Mary
M
Dougherty
Department of Pathology, Saint Louis University School of Medicine, St Louis, MO.
Peter
P
Williams
Division of Pulmonary and Critical Care, Washington University School of Medicine, St Louis, MO.
Andrea
A
Loiselle
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D019468:Disease Management; D016724:Empyema, Pleural / Q000209:etiology / Q000382:microbiology / Q000469:parasitology / Q000628:therapy; D006394:Hemangiosarcoma / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D006872:Hydropneumothorax / Q000209:etiology / Q000601:surgery; D008297:Male; D009198:Myiasis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D017239:Paclitaxel / Q000008:administration & dosage*; D035422:Pleural Cavity / Q000469:parasitology / Q000473:pathology; D010997:Pleural Neoplasms / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013907:Thoracostomy / Q000379:methods*
D000900:Anti-Bacterial Agents; D000972:Antineoplastic Agents, Phytogenic; D017239:Paclitaxel
angiosarcoma; larvae; malignancy; myiasis