How deadly sarcophagid fly larvae are for anurans? New interactions and review to Neotropical region.

Myiasis is defined as the infestation of living or necrotic tissues of vertebrates by dipteran larvae. In amphibians, it can be caused by fly larvae belonging to families Calliphoridae, Chloropidae, Muscidae, and Sarcophagidae. In this study, we report new records and infestation intensity of myiasis in anurans from two localities of the Atlantic Forest in southern Brazil, and also present a list with myiasis caused by flesh fly Sarcophagidae species in anurans of the Neotropical region. For this, we surveyed anuran communities during two breeding seasons, examined for myiasis signs, and when positive collected the specimens. We found infested individuals of 13 anurans of seven species. Different Sarcophagidae larva morphotypes were collected, and two of them emerged as adult flies of Lepidodexia (Notochaeta) fumipennis and Peckia (Sarcodexia) lambens, which were both found in the tree frog Bokermannohyla circumdata. We compiled 21 cases of myiasis in anurans in the Neotropical region from the literature reviewed. This data indicated that hosts of different lineages and modes of life can be affected and that death is often fast. The diversity of myiasis-causing flies in anurans in nature is probably a lot greater than expected, especially if we consider that the encounters are occasional, but at relatively high intensities, can cause rapid deaths.

Fly rounds: Validation and pilot of a novel epidemiologic tool to guide infection control response to an infestation of Sarcophagidae flies in a community hospital's perioperative department.

During an outbreak of Sarcophagidae, or flesh flies, in a community hospital's perioperative department, the infection prevention and control (IPC) department developed, validated, and piloted a novel epidemiologic tool to track hourly fly prevalence by room. Interrater reliability of the tool was measured as 0.88 and hourly point prevalence counts were superimposed on floor plans to create heat maps. Such surveillance tools allowed more timely decision making in conjunction with the operations of the hospital incident command system.

[A case of gingival myiasis caused by Wohlfahrtia magnifica]. / Wohlfahrtia magnifica'dan kaynaklanan gingival miyaz olgusu.

Myiasis is an infestation of living or dead tissue of humans and animals by diptera larvae. Gingival myiasis is a rare pathology and is mainly associated with poor oral hygiene, alcoholism, senility, suppurative lesions, mouth breathing, mental retardation and hemiplegia. Myiasis is most common during summer since the fly population increases during this season. Mostly it occurs in farmers and people who live in tropical climates. Gingival myiasis in humans in Turkey is limited to only a few cases. According to our literature research, this is the first case of gingival myiasis produced by larvae of Wohlfahrtia magnifica in a Turkish adult. According to our best knowledge, it is also the first gingival myiasis case that one of the causative larva had grown to the adult stage in Turkey. A 43 years old male patient who perceived the presence of live maggots in his mouth was referred to our clinic. Clinical findings of gingival myiasis were observed. The patient had no history of systemic disease but oral hygiene was poor. Clinical and radiographic examination indicated that he had chronic periodontitis. Before the dental treatment seven larvae and during the scalling five larvae were elevated from the gingival sulcus. The body of the larvae composed of 12 segments and they were 8-10 mm in length. One of the larvae which was sent to the microbiology laboratory were placed into sheep liver to resume life and the other larvae were placed into 70% alcohol solution. After 9-10 days, the larva which was placed in the liver became pupa. Approximately 15 days later, the pupa became an adult fly. The larvae were identified as the second stage larvae of Wohlfahrtia magnifica. Treatment consisted of removal of the maggots from the gingival sulcus, followed by scaling and oral hygiene instruction. Non-surgical periodontal treatment was applied and the patient was followed-up for 3 months. After non-surgical periodontal treatment, patient didn't accept the flap operation. The most important point for the prevention of gingival myiasis is to establish a good oral hygiene, together with the elimination of environmental factors which support the proliferation of the flies.

Parasarcophaga (Liopygia) ruficornis (Diptera:Sarcophagidae): a flesh fly species of medical importance.

Parasarcophaga (Liopygia) ruficornis is a well-known flesh fly species of medical importance, both as a myiasis-producing agent and fly seen in a forensic entomology context. This study performed a comprehensive literature review of this fly species, dealing with morphology, bionomics and medical involvement. Important characteristics used to identify P. ruficornis have been provided for both its third instar and adult for identification purpose in the future.

Nosocomial myiasis in a patient with diabetes.

This report describes a case of nosocomial myiasis caused by larvae of Sarcophaga (Bercaea) africa. The parasitosis developed in an ulcer on the heel of a patient with type 2 diabetes. The ulcer was dressed when the deposition occurred. An experiment was performed in order to demonstrate the ability of Sarcophaga larvae to move through bandages and reach purulent wounds. This report highlights the need for particular attention, education and specific protocols in hospitals in order to avoid myiasis, which can compromise the organization's reputation for hygienic standards with possible legal consequences.