[Urogenital Myiasis Caused by Psychoda spp. in Female Patient with No Risk Factor for Myiasis]. / Miyaz Için Risk Faktörü Bulundurmayan Bir Kadin Hastada Psychoda spp. Kaynakli Ürogenital Miyaz Olgusu.

Myiasis is defined as follows; some flies lay their eggs and larvae on live organs and tissues or on cavities of nose, eye, ear and etc of humans or animals and the larvae develop there and cause pathological disorders. One of the rare types of myiasis is the urogenital myiasis. This condition has been associated with covering urogenital area with clothes in almost all populations and therefore, less chance for flies to reach this site and lay their eggs. Low socio-cultural level and poor hygiene conditions are stated as the most important risk factors of myiasis. On the other hand, toilets within the human living spaces are ideal environments for fly larvae that are fed on bacteria as they contain moisture and a microbial environment. It is stated that especially in case of the presence of an underlying infection, flies are more prone to lay their eggs or larvae on this area due to the bad smell. In this case report, a patient with a moderate sociocultural level with no underlying chronic disease, no open wound in the genital area and no urinary tract infection was presented. A 53-year-old female patient living with her family in an apartment flat in the city center of Konya admitted to the outpatient clinic of infectious diseases with the complaint of moving worms in her urine. The patient stated that she had seen maggots while urinating for two weeks and that she passed her urine into a container to be sure that the maggots were coming from her urine, upon seeing the maggots there she has admitted to the hospital. The Larvae were defined as the fourth stage larvae of Psychoda spp. No open lesions or wounds were seen in genitourinary area of the patient who had no complaints other than mild urinary burning. Complete blood count test results of the patient were normal and there was no growth in her urine culture. It was stated that other family members whom she lived with did not have similar complaints. The patient was diagnosed as genitourinary myiasis caused byPsychoda spp. and informed about the relationship between hygiene and the disease. And urinary antiseptics were initiated as the treatment for the patient. After the treatment, no larvae were seen in the urine of the patient. In conclusion, many regions are suitable for Psychoda type of adult flies to live in our country due to the climate conditions. It is considered that infestation may develop in patients with less risk factors in terms of urogenital myiasis, that larvae may increase in number of patients who are not treated or followed up and that the infestation may become chronic and results in more serious clinical conditions. The necessary treatment and follow-up must be performed in such cases and the patients should be educated about the relationship between infestation and hygiene.

Urinary Myiasis Caused by Clogmia albipunctata from the Palestinian Territories.

This is the first record of a case of urinary myiasis in the Palestinian Territories caused by Clogmia albipunctata. Larvae were discharged through urine by a 28-year-old pregnant female whom complained of mild abdominal pain associated with burning sensation while urinating over the past 3 months. Detailed description of the larva was provided.

Il s'agit du premier cas de myiase urinaire dans les Territoires palestiniens due à Clogmia albipunctata. Les larves ont été excrétées dans les urines d'une patiente de 28 ans, enceinte, qui se plaignait de douleurs abdominales légères associées, les trois derniers mois, à une sensation de brûlure lors des mictions. Cet article présente également la description des larves.

A laboratory-based study for first documented case of urinary myiasis caused by larvae of Megaselia scalaris (Diptera: Phoridae) in Saudi Arabia.

Megaselia scalaris (Diptera: Phoridae) is one of the medically important insects. Maggots from a urine sample of a 5-year-old Saudi girl were examined microscopically for identification. These maggots were cultured to become adult flies. Larvae and adults were identified using standard keys. Protozoan flagellates were obtained from the gut of the larvae. This is the first report of M. scalaris as a causative agent of urinary human myiasis in Saudi Arabia.

Urogenital myiasis caused by Megaselia scalaris (Diptera: Phoridae): a case report.

A case of urogenital myiasis in a patient with transverse myelitis is reported from Imphal, Manipur, India. The larvae of Megaselia scalaris Lowe were recovered repeatedly from the urine of the patient and were reared to adult to facilitate identification. This is the first known case of urinary myiasis caused by M. scalaris in India.