Myiasis is caused by the larval stages of flies feeding on live or dead mammalian tissues and fluids. Human cases involving the genitourinary system are very rare and present with unusual symptoms.We report the case of a male, 25-year-old shepherd who underwent a surgical intervention on his urinary tract for renal lithiasis and was catheterized with a drain dwelling in his left kidney. A few days after the patient showed signs of dysuria, polyuria and pollakisuria. Lower urinary tract infection with ciprofloxacin susceptible E. coli was diagnosed and treated accordingly. The symptoms persisted and, a few days later, fly maggots were released repeatedly in the urine of the patient and sent for investigation. Macroscopic analysis and microscopy were performed. We detected 3–4 mm long, dorso-ventrally flattened white live fly larvae with lateral projections, typical for Fannia (Diptera: Fannidae) genus. Identification on a species level could not be performed as larva feeding facilities or specific DNA based methods were not available for us.Even if maggot urinary tract infestations are extremely rare in Europe, we should consider them in order to provide a rapid and correct diagnosis followed by an adequate treatment.
Otranto, D., Stevens, J. R.: Molecular approaches to the study of myiasis-causing larvae. Int J Parasitol 32, 1345–1360 (2002).
Stevens J. R., 'Molecular approaches to the study of myiasis-causing larvae' (2002) 32Int J Parasitol: 1345-1360.
Stevens J. R.Molecular approaches to the study of myiasis-causing larvaeInt J Parasitol20023213451360)| false
Stevens, J. R., Wallman, J. F., Otranto, D., Wall, R., Pape, T.: The evolution of myiasis in humans and other animals in the Old and New Worlds (part II): Biological and life-history studies. Trends Parasitol 22, 181–188 (2006).
Pape T., 'The evolution of myiasis in humans and other animals in the Old and New Worlds (part II): Biological and life-history studies' (2006) 22Trends Parasitol: 181-188.
Pape T.The evolution of myiasis in humans and other animals in the Old and New Worlds (part II): Biological and life-history studiesTrends Parasitol200622181188)| false
Garcia, L. S., Bruckner, D. A.: Diagnostic Medical Parasitology. American Society of Microbiology, Washington DC, 2nd Edition, 1993, pp. 444–454.
Bruckner D. A., '', in Diagnostic Medical Parasitology, (1993) -.
Bruckner D. A.Diagnostic Medical Parasitology1993)| false
Whitaker, I. S., Twine, C., Whitaker, M. J., Welck, M., Brown, C. S., Shandall, A.: Larval therapy from antiquity to the present day: Mechanisms of action, clinical applications and future potential. Postgrad Med J 83, 409–413 (2007).
Shandall A., 'Larval therapy from antiquity to the present day: Mechanisms of action, clinical applications and future potential' (2007) 83Postgrad Med J: 409-413.
Shandall A.Larval therapy from antiquity to the present day: Mechanisms of action, clinical applications and future potentialPostgrad Med J200783409413)| false