title: A Case of Vulvar Myiasis.
abstract: Myiasis occurs in humans and vertebrate animals mostly due to dipterous flies of the genera Chrysomyia and Cochliomyia. There have been reported cases of myiasis of skin, breast, intestine, eyes and ear but very few cases of vulvar myiasis have been reported in the medical literature. We report a case of a 20 years old female with vulvar myiasis. A 20-year old unmarried girl presented to our hospital with complains of vaginal discharge and vulvar irritation for 3 days with evidence of some worms around her vulvar region. Her menstrual history revealed the use of folded cloths instead of sanitary pads during her menstruation. Moreover, she washed those clothes with water and hanged them in the clothesline outside to let them dry before reuse. Examination of the external genitalia multiple ulcers measuring 1X1 cm on the inner surface of the labia minora, heavily infested with large number of maggots. The patient was admitted for 4 days during which she was given antibiotics, analgesics and anti-inflammatory medication. Daily local asepsis of the wound with antiseptic solution, betadine was done. We removed more than 30 larvae by the fourth day after which no more larvae were seen and she gradually recovered in the following days. It is our opinion that the cause of vulvar myiasis in our patient was her poor sanitary hygiene. Simple measures such as washing clothes thoroughly, drying and ironing of clothes are also necessary to reduce the risk of this human myiasis.
authors.affiliation: Department of Emergency Medicine, Institute of Medicine, Kathmandu, Nepal.
authors.forename: B R
authors.initials: BR
authors.lastname: Dawadi
authors.affiliation: Department of Medicine, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: M T
authors.initials: MT
authors.lastname: Sherpa
authors.affiliation: Department of Medicine, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: R
authors.initials: R
authors.lastname: Shrestha
keywords: external genitalia; female; maggots; myiasis.