Cutaneous myiasis by Cochliomyia hominivorax (Coquerel) (Díptera Calliphoridae) in Hospital Universidad del Norte, Soledad, Atlántico
Keywords:
myiasis, screw worm infection, ivermectin, Colombia
Abstract
Human myiasis is the parasitism of human tissues by fly larvae. Diagnoses are based on clinical
pattern of tissue damage and presence of insect stages. Herein, a case myiasis is described in a seven-year-old female child. She presented with fever associated with abscessed scalp lesions containing exposed larvae. Severe pediculosis was also observed. The patient was hospitalized and treated with clindamycin, gentamicin (for bacterial secondary infections) and ivermectin (treatment for lice) after which the patient showed clinical improvement and was discharged four days later. Since human myiasis can be caused by a number of different species, larvae were collected from the patient and identified as those of Cochliomyia hominivorax (Diptera: Calliphoridae). Because other cases of coinfestation of flies and lice are on record, health workers are to be alerted about the possible pediculosis-myasis risk.
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References
1. Bermúdez SE, Espinosa JD, Cielo AB, Clavel F, Subia J, Medianero E. Incidence of myiasis in Panamá during the eradication of Cochliomyia hominivorax (Coquerel 1858, Diptera: Calliphoridae) (2002-2005). Mem Inst Oswaldo Cruz. 2007;102:675-9.
2. Villamizar JR, Sandoval GP. Miasis ótica. Acta de Otorrinolaringología y Cirugía de Cabeza y Cuello. 2000;28:203-6.
3. Mariwalla K, Langhan M, Welch KA, Kaplan DH. Cutaneous myiasis associated with scalp psoriasis. J Am Acad Dermatol. 2007;57:s51-2.
4. Levi F, Valderrama R, Gonzalo JA. Tratamiento de miasis oral con ivermectina: notificación de tres casos causados por Cochliomyia homninivorax (Coquerel). Rev Fac Odontol Univ Antioquia. 1998;10:41-7.
5. Alarcón MA. Miasis uterina. Rev Colomb Obstet Ginecol. 1988;39:130-1.
6. Duque CS, Marrugo G, Valderrama R. Otolaryngic manifestations of myiasis. Ear Nose Throat J. 1990;69:619-22.
7. Vega-Lopez F, Chopra S. Manson’s tropical diseases. 21st ed. London: Saunders; 2003. p. 374-5.
8. Phillips PL, Welch JB, Kramer M. Seasonal and spatial distributions of adults screwworms (Diptera: Calliphoridae) in the Panama Canal Area, Republic of Panama. J Med Entomol. 2004;41:121-9.
9. Vargas M, Hall MJ. Manual para la mosca del gusano barrenador del ganado, Cochliomyia hominivorax (Coquerel). Volumen 1. Roma: Organización de las Naciones Unidas para la Agricultura y la Alimentación; 1993. p. 5-6.
10. Hendrix CM, King-Jackson DA, Wilson PM, Blagburn BL, Kindsay DS. Furunculoid myiasis in a dog caused by Cordylobia anthropophaga. J Am Vet Med Assoc. 1995;207:1187-9.
11. Loredo A, Trejo J, Castilla L. Children injured: abuse or accident? Diagnosis through indicators. Bol Med Hosp Infant Mex. 2003;60:368-79.
12. Hope FW. On insects and their larvae occasionally found in the human body. Trans R Soc Entomol. 1840;2:256-71.
13. Organización de las Naciones Unidas para la Agricultura y la Alimentación. Miasis cutáneas, 2006. [Fecha de consulta: 29 de febrero de 2008]. Disponible en: http://www.rlc.fao.org/es/prioridades/transfron/miasis/cutaneas/default.htm
14. Moissant de Román E, García ME, Quijada J, Simoes D, Marcial T. Miasis cutánea humana. Un caso clínico. Kasmera. 2004;32:12-5.
15. Duro EA, Marilvis JC, Mulieri PR. Umbilical myiasis in a human newborn. J Perinatol. 2007;27:250-1.
16. Powers NR, Yorgensen ML, Rumm PD, Souffront W. Myasis in humans: an overview and report of two cases in the Republic of Panama. Mil Med. 1996;161:495-7.
17. Osorio J, Moncada L, Molano A, Valderrama S, Gualtero S, Franco-Paredes C. Role of the ivermectin in the treatment of severe orbital myiasis due to Cochliomyia hominivorax. Clin Infec Dis. 2006;3:57-9.
18. Visciarelli EC, García SH, Salomón C, Cofre C, Costamanga S. Un caso de miasis humana por Cochliomyia hominivorax (Díptera: Calliphoridae) asociado a pediculosis en Mendoza, Argentina. Parasitol Latinoam. 2003;58:166-8.
19. Marquez AT, Mattos Mda S, Nascimento SB. Miases associadas com alguns factores sócio-econômicos em cinco áreas urbanas do Estado do Rio de Janeiro. Rev Soc Bras Med Trop. 2007;40:175-80.
20. Linardi PM, De Maria M, Botelho JR, Cunha HC, Ferreira J . Pediculose capitis: prevalência em escolares da rede municipal pública de Belo Horizonte, Minas Gerais, Brasil. Mem Inst Oswaldo Cruz. 1989;84:327-31.
21. Dourmishev AL, Dourmishev LA, Schwartz R. Ivermectin: Pharmacology and application in dermatology. Int J Dermatol. 2005;44:981-8.
2. Villamizar JR, Sandoval GP. Miasis ótica. Acta de Otorrinolaringología y Cirugía de Cabeza y Cuello. 2000;28:203-6.
3. Mariwalla K, Langhan M, Welch KA, Kaplan DH. Cutaneous myiasis associated with scalp psoriasis. J Am Acad Dermatol. 2007;57:s51-2.
4. Levi F, Valderrama R, Gonzalo JA. Tratamiento de miasis oral con ivermectina: notificación de tres casos causados por Cochliomyia homninivorax (Coquerel). Rev Fac Odontol Univ Antioquia. 1998;10:41-7.
5. Alarcón MA. Miasis uterina. Rev Colomb Obstet Ginecol. 1988;39:130-1.
6. Duque CS, Marrugo G, Valderrama R. Otolaryngic manifestations of myiasis. Ear Nose Throat J. 1990;69:619-22.
7. Vega-Lopez F, Chopra S. Manson’s tropical diseases. 21st ed. London: Saunders; 2003. p. 374-5.
8. Phillips PL, Welch JB, Kramer M. Seasonal and spatial distributions of adults screwworms (Diptera: Calliphoridae) in the Panama Canal Area, Republic of Panama. J Med Entomol. 2004;41:121-9.
9. Vargas M, Hall MJ. Manual para la mosca del gusano barrenador del ganado, Cochliomyia hominivorax (Coquerel). Volumen 1. Roma: Organización de las Naciones Unidas para la Agricultura y la Alimentación; 1993. p. 5-6.
10. Hendrix CM, King-Jackson DA, Wilson PM, Blagburn BL, Kindsay DS. Furunculoid myiasis in a dog caused by Cordylobia anthropophaga. J Am Vet Med Assoc. 1995;207:1187-9.
11. Loredo A, Trejo J, Castilla L. Children injured: abuse or accident? Diagnosis through indicators. Bol Med Hosp Infant Mex. 2003;60:368-79.
12. Hope FW. On insects and their larvae occasionally found in the human body. Trans R Soc Entomol. 1840;2:256-71.
13. Organización de las Naciones Unidas para la Agricultura y la Alimentación. Miasis cutáneas, 2006. [Fecha de consulta: 29 de febrero de 2008]. Disponible en: http://www.rlc.fao.org/es/prioridades/transfron/miasis/cutaneas/default.htm
14. Moissant de Román E, García ME, Quijada J, Simoes D, Marcial T. Miasis cutánea humana. Un caso clínico. Kasmera. 2004;32:12-5.
15. Duro EA, Marilvis JC, Mulieri PR. Umbilical myiasis in a human newborn. J Perinatol. 2007;27:250-1.
16. Powers NR, Yorgensen ML, Rumm PD, Souffront W. Myasis in humans: an overview and report of two cases in the Republic of Panama. Mil Med. 1996;161:495-7.
17. Osorio J, Moncada L, Molano A, Valderrama S, Gualtero S, Franco-Paredes C. Role of the ivermectin in the treatment of severe orbital myiasis due to Cochliomyia hominivorax. Clin Infec Dis. 2006;3:57-9.
18. Visciarelli EC, García SH, Salomón C, Cofre C, Costamanga S. Un caso de miasis humana por Cochliomyia hominivorax (Díptera: Calliphoridae) asociado a pediculosis en Mendoza, Argentina. Parasitol Latinoam. 2003;58:166-8.
19. Marquez AT, Mattos Mda S, Nascimento SB. Miases associadas com alguns factores sócio-econômicos em cinco áreas urbanas do Estado do Rio de Janeiro. Rev Soc Bras Med Trop. 2007;40:175-80.
20. Linardi PM, De Maria M, Botelho JR, Cunha HC, Ferreira J . Pediculose capitis: prevalência em escolares da rede municipal pública de Belo Horizonte, Minas Gerais, Brasil. Mem Inst Oswaldo Cruz. 1989;84:327-31.
21. Dourmishev AL, Dourmishev LA, Schwartz R. Ivermectin: Pharmacology and application in dermatology. Int J Dermatol. 2005;44:981-8.
How to Cite
1.
Romero-Vivas CM, Castro LE, Visbal L, Santos AM, Díaz E. Cutaneous myiasis by Cochliomyia hominivorax (Coquerel) (Díptera Calliphoridae) in Hospital Universidad del Norte, Soledad, Atlántico. Biomed. [Internet]. 2009 Mar. 1 [cited 2026 Jan. 13];29(1):12-7. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/36
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