Traumatic myiasis from Sarcophaga (Bercaeal cruentata Meigen, 1826 (Diptera, Sarcophagidae) in a hospital environment: reporting of a clinical case following polytrauma.

We present a case of cutaneous myiasis occurring in a hospital environment (nosocomial myiasis) in an patient with serious multiple traumas sustained in a motorcycle accident. The agent responsible for the myiasis was identified as Sarcophaga cruentata (Meigen 1826). The larvae found in the necrotic wound were removed and the necessary environmental measures were taken to avoid further infestation. Although nonocomial myiasis is a form of parasitosis already cited in the in literature, it is a rare event and worthy of attention to aid in identifying parasitosis in hospitalized subjects in order to expedite proper diagnosis and treatment.

[1]  A. Mccarthy,et al.  Nosocomial myiasis in a Canadian intensive care unit , 2007, Canadian Medical Association Journal.

[2]  M. Türk,et al.  A case of nasomyiasis whose agent was Sarcophaga sp. , 2006, Turkiye parazitolojii dergisi.

[3]  R. Sherman,et al.  Maggot therapy for treating diabetic foot ulcers unresponsive to conventional therapy. , 2003, Diabetes care.

[4]  Y. Uyar,et al.  Myiasis infestation: a rare complication of decubitus ulcer , 2002, European Journal of Plastic Surgery.

[5]  C. Joo,et al.  Nosocomial submandibular infections with dipterous fly larvae. , 2001, The Korean journal of parasitology.

[6]  F. Merino,et al.  [Cutaneous myiasis by Sarcophaga sp]. , 2000, Enfermedades infecciosas y microbiologia clinica.

[7]  S. Veraldi,et al.  Dermatologia di importazione , 1997 .

[8]  U. Mielke.  Nosocomial myiasis. , 1997, The Journal of hospital infection.

[9]  I. Braverman,et al.  Aural myiasis caused by flesh fly larva, Sarcophaga haemorrhoidalis. , 1994, The Journal of otolaryngology.

[10]  T. Ozaki,et al.  An Infantile Case of Intestinal Myiasis , 1992, Acta paediatrica Japonica : Overseas edition.

[11]  E. Pechter,et al.  Maggot therapy: a review of the therapeutic applications of fly larvae in human medicine, especially for treating osteomyelitis , 1988, Medical and veterinary entomology.

[12]  C. Lovell,et al.  Human cutaneous myiasis—a review and report of three cases due to Dermatobia hominis , 1987, Clinical and experimental dermatology.

[13]  L. Magnarelli,et al.  Human cases of furuncular, traumatic, and nasal myiasis in Connecticut. , 1981, The American journal of tropical medicine and hygiene.

[14]  F. Erfan.  Gingival myiasis caused by Diptera (sarcophaga). , 1980, Oral surgery, oral medicine, and oral pathology.

[15]  Fritz Zumpt,et al.  Myiasis in Man and Animals in the Old World. A Textbook for Physicians, Veterinarians and Zoologists. , 1965 .

[16]  M. James.  The Flies That Cause Myiasis in Man , 2018 .

[17]  W. S. Patton.  Notes on the Myiasis-producing Diptera of Man and Animals , 1921 .