External Genitalia Myiasis in a 40-Year-Old Woman
Human myiasis is an infestation produced by fly larvae invading the tissues. We present a case of a 40-year-old virgin woman with vulvar myiasis. She reported at the gynecology clinic with a bloody discharge, severe pain, and swelling of the genital area for six days. Her menstrual history revealed...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2023-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2023/5579531 |
| _version_ | 1797742223510470656 |
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| author | Ghazal Mansouri Leila Allahqoli Hamid Salehiniya Ibrahim Alkatout |
| author_facet | Ghazal Mansouri Leila Allahqoli Hamid Salehiniya Ibrahim Alkatout |
| author_sort | Ghazal Mansouri |
| collection | DOAJ |
| description | Human myiasis is an infestation produced by fly larvae invading the tissues. We present a case of a 40-year-old virgin woman with vulvar myiasis. She reported at the gynecology clinic with a bloody discharge, severe pain, and swelling of the genital area for six days. Her menstrual history revealed the use of folded clothes. She had no specific gynecological disease. At the examination of the external genitalia, a tender mass measuring 6 cm×4 cm and an ulcer measuring 1 cm×1 cm on the surface of the labia majora were found. The patient was hospitalized. Serology, blood, and urine tests were requested; all laboratory tests were normal. The patient was transferred to the operating room (OR) with the diagnosis of necrotizing fasciitis. In the OR, we performed a longitudinal incision on the mass and removed nearly 30 visible maggots. After washing with normal saline, the patient was transferred to the ward without wound suturing. Debridement of the necrotic vulvar mass along with daily washing was performed for 7 days. The wound was sutured on the seventh day at the OR. Antibiotic therapy was continued for 4 days, and the patient was discharged with normal laboratory tests on the eleventh day after admission. We believe that poor sanitary hygiene was the cause of vulvar myiasis in our patient. We conclude that appropriate measures must be taken to reduce the risk of human myiasis, especially in tropical rural regions. |
| first_indexed | 2024-03-12T14:37:53Z |
| format | Article |
| id | doaj.art-1a2d1bdc93304392ad024daedeee3244 |
| institution | Directory Open Access Journal |
| issn | 2090-6692 |
| language | English |
| last_indexed | 2024-03-12T14:37:53Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj.art-1a2d1bdc93304392ad024daedeee32442023-08-17T00:00:14ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66922023-01-01202310.1155/2023/5579531External Genitalia Myiasis in a 40-Year-Old WomanGhazal Mansouri0Leila Allahqoli1Hamid Salehiniya2Ibrahim Alkatout3Department of Obstetrics and GynecologyMinistry of Health and Medical EducationSocial Determinants of Health Research CenterDepartment of Obstetrics and GynecologyHuman myiasis is an infestation produced by fly larvae invading the tissues. We present a case of a 40-year-old virgin woman with vulvar myiasis. She reported at the gynecology clinic with a bloody discharge, severe pain, and swelling of the genital area for six days. Her menstrual history revealed the use of folded clothes. She had no specific gynecological disease. At the examination of the external genitalia, a tender mass measuring 6 cm×4 cm and an ulcer measuring 1 cm×1 cm on the surface of the labia majora were found. The patient was hospitalized. Serology, blood, and urine tests were requested; all laboratory tests were normal. The patient was transferred to the operating room (OR) with the diagnosis of necrotizing fasciitis. In the OR, we performed a longitudinal incision on the mass and removed nearly 30 visible maggots. After washing with normal saline, the patient was transferred to the ward without wound suturing. Debridement of the necrotic vulvar mass along with daily washing was performed for 7 days. The wound was sutured on the seventh day at the OR. Antibiotic therapy was continued for 4 days, and the patient was discharged with normal laboratory tests on the eleventh day after admission. We believe that poor sanitary hygiene was the cause of vulvar myiasis in our patient. We conclude that appropriate measures must be taken to reduce the risk of human myiasis, especially in tropical rural regions.http://dx.doi.org/10.1155/2023/5579531 |
| spellingShingle | Ghazal Mansouri Leila Allahqoli Hamid Salehiniya Ibrahim Alkatout External Genitalia Myiasis in a 40-Year-Old Woman Case Reports in Obstetrics and Gynecology |
| title | External Genitalia Myiasis in a 40-Year-Old Woman |
| title_full | External Genitalia Myiasis in a 40-Year-Old Woman |
| title_fullStr | External Genitalia Myiasis in a 40-Year-Old Woman |
| title_full_unstemmed | External Genitalia Myiasis in a 40-Year-Old Woman |
| title_short | External Genitalia Myiasis in a 40-Year-Old Woman |
| title_sort | external genitalia myiasis in a 40 year old woman |
| url | http://dx.doi.org/10.1155/2023/5579531 |
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