Medical Case Reports

Fly Larvae Induce Urinary Myiasis with no Urinary Symptoms but with Neurological Compromise

Objective: A 13-year-old patient presented at the pediatric intensive care unit with confusion, disorientation, bradypsychia, bradilalia, hallucinations and delusions. To address her condition, she was promptly induced into a barbiturate coma and assessed for bacterial or viral infection.

Methods: The corresponding laboratory studies carried out in accordance with the clinical practice guidelines ruled out serious bacterial disease, the CSF was compatible with viral encephalitis and no viral infection was detected. The patient did not show changes suggestive of myiasis, but she stopped urinating and bladder catheterization revealed fly larvae in the urine.

Results: The results of the taxonomic analysis showed that the larvae belonged to the fly species Clogmia albipuntata. Like cuh, the result of the diagnosis was myiasis induced by parasitic infestations.

Conclusions: The antiparasitic treatment was successful and the patient was discharged.

Author(s):

Abstract | Full-Text | PDF

Share this