Children hospitalized for myiasis in a reference center in Uruguay / Niños hospitalizados por miasis en un centro de referencia de Uruguay

Abstract Background: Myiasis is an emerging disease caused by tissue invasion of dipteran larvae. In Uruguay, Cochliomyia hominivorax and Dermatobia hominis are the most frequent species. This study aimed to describe the epidemiological and clinical characteristics and the follow-up of children < 15 years hospitalized for myiasis in a reference center in Uruguay between 2010 and 2019. Methods: We conducted a descriptive and retrospective study by reviewing medical records. We analyzed the following variables: age, sex, comorbidities, origin, the month at admission, clinical manifestations, other parasitoses, treatments, complications, and larva species identified. Results: We found 63 hospitalized children: median age of 7 years (1 month-14 years), 68% of females. We detected risk comorbidities for myiasis (33%), of which chronic malnutrition was the most frequent (n = 6); 84% were from the south of the country; 76% were hospitalized during the summer. Superficial and multiple cutaneous involvements were found in 86%: of the scalp 50, furunculoid type 51, secondary to C. hominivorax 98.4%, and to D. hominis in 1.6%. As treatments, larval extraction was detected in all of them, surgical in 22%. Asphyctic products for parasites were applied in 94%, ether in 49. Antimicrobials were prescribed in 95%; cephradine and ivermectin were the most frequent. About 51% presented infectious complications: impetigo was found in 29, cellulitis in 2, and abscess in 1. Conclusions: Myiasis predominantly affected healthy schoolchildren during the summer months and was frequently associated with ectoparasites. Superficial infestation of the furuncle-like scalp by C. hominivorax was the most frequent form. Infectious complications motivated hospitalizations.

Resumen Introducción: La miasis es una enfermedad emergente producida por la invasión tisular por larvas de dípteros. En Uruguay, Cochliomyia hominivorax y Dermatobia hominis son las especies más frecuentes. El objetivo de este estudio fue describir las características epidemiológicas y clínicas, y el seguimiento, de niños menores de 15 años hospitalizados por miasis en un centro de referencia del Uruguay entre 2010 y 2019. Métodos: Se llevó a cabo un estudio descriptivo y retrospectivo mediante la revisión de las historias clínicas. Se analizaron las siguientes variables: edad, sexo, comorbilidad, procedencia, mes al ingreso, cuadro clínico, otras parasitosis, tratamientos, complicaciones y especie de larva identificada. Resultados: Se encontraron 63 casos de niños hospitalizados, con una mediana de edad de 7 años (rango: 1 mes a 14 años) y el 68% de sexo femenino. Se identificó comorbilidad de riesgo para miasis (33%), siendo la desnutrición crónica la más frecuente (n = 6). El 84% eran procedentes del sur del país y el 76% fueron hospitalizados en los meses estivales. Se encontró afectación cutánea superficial y múltiple en el 86%: de cuero cabelludo en 50, de tipo forunculoide en 51, secundaria a C. hominivorax en el 98.4% y a D. hominis en el 1.6%. Se realizó extracción larvaria en todos los casos, que fue quirúrgica en el 22%. Se aplicaron productos asfícticos para parásitos en el 94%, con éter en 49 niños. Se prescribieron antimicrobianos en el 95%; los más usados fueron cefradina e ivermectina. El 51% presentaron complicaciones infecciosas: 29 impétigo, 2 celulitis y 1 absceso. Conclusiones: La miasis afectó predominantemente a escolares sanos y durante los meses estivales, y se encontró frecuentemente asociada con ectoparasitosis. La infestación superficial del cuero cabelludo de tipo forunculoide por C. hominivorax fue la forma más frecuente. Las complicaciones infecciosas motivaron las hospitalizaciones.

Oftalmomiasis / Ophthalmomiasis

La oftalmomiasis es una enfermedad poco frecuente, causada por artrópodos; en este caso por la mosca adulta. Presentamos el caso de una paciente femenina, de 44 años de edad, con antecedentes de inmunosupresión severa secundaria a VIH, quien fue atendida en el Servicio de Oftalmología por molestia ocular. Presentaba un aumento de volumen circunscrito en conjuntiva que se extendía sobre la córnea nasal del ojo izquierdo, de aspecto blanco nacarado, deslustrado. Se le realizó exéresis de la lesión y crioterapia. Posteriormente se le aplicó colirio de mitomicina C. A los siete meses la paciente regresó a la consulta con un cuadro de complicación franca y severa de la lesión, con destrucción de los tejidos de la órbita y múltiples cavernas ocupadas por cientos de larvas de moscas(AU)

Ophthalmomiasis is a rare disease, caused by arthropods; in this case by the adult fly. We present the case of a 44-year-old female patient, with a history of severe immunosuppression secondary to HIV, who was treated at the Ophthalmology Service for ocular discomfort. She presented a circumscribed increase in volume in the conjunctiva that extended over the nasal cornea of ​​the left eye, with a pearly white, tarnished appearance. Excision of the lesion and cryotherapy were performed. Subsequently, mitomycin C eye drops were applied. Seven months later, the patient returned to the consultation with a frank and severe complication of the lesion, with destruction of the tissues of the orbit and multiple caverns occupied by hundreds of fly larvae(AU)

Occurrence of Gasterophilus spp. in weanling foals in southern Brazil

The occurrence of gastrointestinal myiasis caused by Gasterophilus spp. larvae (Diptera: Oestridae) in adult horses has been widely characterized, however data on natural infestation in young foals have been lacking. This observation may be related to the absence of conclusive diagnosis in these individuals, most likely due to logistical or financial constraints. Gastric ulceration is a problem and a significant cause of morbidity in foals, particularly during the weaning stage; therefore, gasterophilosis should be included in the differential diagnosis. The primary purpose of this study was to determine the prevalence of gasterophilosis in 4- to 6-month-old weanling foals. Seventy-one healthy weanling foals were enrolled in the study. Physical assessment blood sampling and was completed in all foals before the commencement of the experiment. Gastroscopy examinations were performed under sedation (Detomidine 0.01 - 0.02 mg/kg) with a flexible endoscope inserted through nasogastric via. The lumen of the stomach was examined in order to search for botflies' larvae. Following gastroscopy, foals were classified into 2 groups based on the presence of Gasterophilus spp. larvae in their stomachs: 1) Infected and 2) Not Infected. Infected foals received a single dose of commercial trichlorfon and albendazole equine oral gel and were stalled for 24 h. The passed feces were thoroughly examined, searching for elimination of larvae. A total of 64% of the foals (n = 45/71) harbored Gasterophilus spp. larvae in the stomach. Mild hyperemia in the gastric mucosa was observed in the attachment sites of the parasites. Physical assessment and hematological parameters' data were analyzed with Shapiro-Wilk normality test. Comparison between groups for clinical signs, hematological parameters and Gasterophilus spp. infection rates were evaluated using the Kruskal-Wallis test or Student's t-test. Statistical significance was set at P < 0.05. There were no statistically significant variations in physical and hematological parameters between foals that were affected and those that were not infected. The larvae found in the feces were subjected to morphological examination, which confirmed the diagnosis of Gasterophilus intestinalis. No systemic clinical indications compatible with Gasterophilus spp. infestation were seen, as described in previous studies of horses infected with the parasite. No botfly eggs were observed in the hair of evaluated foals. During gastroscopy, mild hyperemic lesions in the gastric mucosa were observed in the larvae fixation sites. Although no changes in clinical or hematological parameters were noted, the confirmation of parasite presence is a cause for concern due to horses' tolerance for low infestation levels and poor diagnosis. Additionally, the presence of this myiasis in foals may be a significant stressor during the weaning period and should be included in the differential diagnosis of recurring abdominal pain. Furthermore, infected foals might be a reservoir for the parasite and, contribute to the elimination and spread of the larvae in the environment. Thus, inclusion of young horses in deworming protocols targeted to botfly larvae is needed. This is the first report of Gasterophilus intestinalis myiasis in foals in Brazil. Further research is necessary to fully understand the epidemiology and prevalence of this condition in young horses in Brazil, based on the findings of this study.(AU)

Distribución estacional de miasis mucocutánea. Nuestra experiencia / Seasonal distribution of mucocutaneousmyiasis. Our experience / Distribuição sazonal de miíase mucocutânea. A nossa experiencia

Introducción: la miasis es una lesión producida por larvas de mosca que infestan animales, de cuyos tejidos se alimentan en forma parasitaria. En nuestro servicio de otorrinolaringología tratamos frecuentemente pacientes con miasis mucocutáneas. El comprender la distribución estacional de esta patología podría ser una herramienta útil para la prevención de la misma. Métodos: Se valoraron las historias clínicas informatizadas del servicio de Otorrinolaringología del Hospital Federico Abete de Malvinas Argentinas, entre enero de 2013 y diciembre de 2015, utilizando como filtro la palabra “miasis”; de las cuales se analizaron las variables: mes de infestación, sitio anatómico comprometido, la edad, el género y la temperatura al momento de la consulta. Resultados: Se encontraron 27 pacientes. La edad promedio fue de 42 años. Quince pacientes masculinos y 12 femeninos. Sitio anatómico comprometido: conducto auditivo externo: 11; traqueostoma: 8; Sitio operatorio: 5; oído medio: 3. Todos fueron diagnosticados en las estaciones más cálidas. Conclusiones: Se observó la aparición de miasis en las estaciones más cálidas. Sería aconsejable tomar mayor cantidad de medidas preventivas durante estas épocas del año, para evitar los casos de infestación larvaria, cuando es posible.

Introduction: Myiasis refers to the damage caused by fly larvaes, which infest animals, including humans, and who feed in form parasitic of their dead or living tissue, causing tissue destruction. In our department of otolaryngology, we often treat patients with mucocutaneous myiasis. Understand the seasonal distribution of this disease could be a useful tool for preventing it. Method: Computerized medical records of Otolaryngology Service of Hospital Municipal Dr. Federico Abete of Malvinas Argentinas were valued, in the period between 2013 and 2015, it was used as a filter the word “myiasis”. Were found a series of 27 cases with diagnosis of mucocutaneous myiasis; of which were analyzed the variables: month of infestation, involved anatomic site, age and temperature at the time of medical consultation. Results: 27 patients were found. The average age was 42 years. 15 male patients and 12 female patients. Involved anatomic site: external auditory canal: 11; tracheostomy: 8; infestation surgical site: 5; middle ear: 3. All were diagnosed in the warmer seasons. Conclusions: The appearance of myiasis was observed in the warmer seasons. It would be advisable to take as many preventative measures during these times of the year to avoid cases of larval infestation, when possible.

Introdução: Miíase é uma lesão causada por larvas de moscas que infestam animais e dos que se alimentam de forma parasitária de seus tecidos. Em nosso departamento de otorrinolaringología tratamos muitas vezes pacientes com miíase mucocutânea. Compreender a distribuiçãos a zonal destado ença poderia ser uma ferramenta útil para evitar isso. Método: Forama valiados registros médicos computadorizados de Serviço de Otorrinolaringologia do Hospital Municipal Dr. Federico Abete de Malvinas Argentinas, no período entre 2013 e 2015, ele foi usado como filtro a palavra “miasis”. Foram encontradas uma série de 27 casos com diagnóstico de miíase mucocutânea; dos quais foram analisados as variáveis: mês de infestação, local anatómico en volvidos, idade e sexo dos pacientes; que foram comparados com os dados de temperatura do Servicio Meteorológico Nacional. Resultados: 27 pacientes foram encontrados. A idade média foi de 42 anos. 15 pacientes do sexo masculino e 12 do sexo feminino. Local anatômico envolvidos: canal auditivo externo: 11; traqueostomia: 8; infestação de sítio cirúrgico: 5; ouvido médio: 3. Todos foram diagnosticados nas estações mais quentes. Conclusões: O aparecimento de miíases foi observada nas estações mais quentes. Seria aconselhável tomar tantas medidas preventivas durante estas épocas do ano para evitar casos de infestação larval, quando possível.

Occurrences of Oestrus ovis parasitism in necropsied sheep in the Umuarama microregion, Paraná, Brazil / Ocorrência de parasitismo por Oestrus ovis em ovinos necropsiados da microrregião de Umuarama - Paraná, Brasil

Between January 2007 and September 2013, 71 sheep belonging to 12 farms in the Umuarama microregion, State of Paraná, were evaluated regarding presence of Oestrus ovis larvae, during necropsies. The farms from which these animals originated were visited and the owners and employees were interviewed. Occurrences of O. ovis parasitism in sheep were diagnosed for the first time on this microregion. Of the 71 animals, 12 (16.9%) were parasitized by O. ovis, with mean intensity of 2.25 larvae per infested head (1 to 8 larvae/infested head). There was a high correlation (0.81, p=0.0346) between the number of larvae and the macroscopic lesions observed in these animals nasal cavities, such that sheep with more than 3 larvae may contain mucupurulent secretions or epistaxis. From the interviews conducted, it was found that all the farm owners were applying chemical parasite control methods (helminths and/or O. ovis), administered to all animals in the herds every 30 days (91.6% of the producers), using derivatives of macrocyclic lactones and/or benzimidazoles/imidazothiazoles. Further studies need to be conducted in this particular region, in an attempt to elucidate the prevalence of O. ovis parasitism in herds.

De janeiro de 2007 a setembro de 2013, foram avaliados, durante a necropsia, 71 ovinos pertencentes a 12 propriedades rurais da microrregião de Umuarama, Paraná, Brasil, quanto à presença de larvas de Oestrus ovis. Entre outubro e dezembro de 2013, as 12 propriedades de onde os animais eram provenientes foram visitadas, e os proprietários e funcionários foram entrevistados. A ocorrência do parasitismo por O. ovis em ovinos foi constatada pela primeira vez em propriedades rurais da microrregião de Umuarama, Estado do Paraná. Dos 71 animais, 12 (16,9%) estavam parasitados por O. ovis, com intensidade média de parasitismo de 2,25 larvas por cabeça infestada (1 a 8 larvas). Foi possível verificar correlação elevada (0,81, p=0,0346) apenas entre o número de larvas versus lesões macroscópicas observadas na cavidade nasal desses animais, de modo que ovinos com mais de 3 larvas continham secreção mucopurulenta ou epistaxe na cavidade. Quando da entrevista constatou-se que todos os proprietários fazem controle químico contra parasitas (helmintos e/ou O. ovis) e esse. controle é feito a cada 30 dias por 91,6% dos produtores, que utilizam derivados de lactonas macrocíclicas e/ou benzimidazóis/imidatiazóis. Futuros estudos ainda precisam ser realizados nesta região, na tentativa de elucidar a prevalência de parasitismo por O. ovis nos rebanhos.

Miíases humanas: Atualidades para a prática clínica / Human myiasis: updates to the clinical practice

Miíase é uma infestação ectoparasitária, que tem as espécies Cochliomyia hominivorax, Dermatobia hominis e Cochliomyia macellaria como maiores destaques. Os principais fatores de risco são baixo nível socioeconômico, padrões inadequados de higiene, enfermidades psiquiátricas, diabetes mellitus, imunodepressão, etilismo, desnutrição e úlcera varicosa. Os autores abordam a importância epidemiológica da miíase humana em regiões endêmicas, discorrendo sobre manifestações clínicas, diagnóstico, tratamento e medidas profiláticas...

The myiasis consists of a parasitic infestation, the species having Cochliomyia hominivorax, Dermatobia hominis and Cochliomyia macellaria as most prominent. The main risk factors are low socioeconomic status, inadequate hygiene standards, psychiatric disease, diabetes mellitus, immunosuppression, alcoholism, malnutrition and varicose ulcer. There may be asymptomatic or systemic cases with serious complications. The purpose of this article is to address the epidemiological importance of human myiasis in endemic regions, discussing clinical manifestations, diagnosis, treatment and prophylactic measures...

Prevalence of Oestrus ovis (Diptera: Oestridae) in sheep from the São Paulo Central region, Brazil / Prevalência de Oestrus ovis (Diptera: Oestridae) em ovinos da região Central de São Paulo, Brasil

The heads of 139 slaughtered sheep were examined with the aim of determining Oestrus ovis prevalence and infestation intensity in the central region of the State of São Paulo, Brazil. Heads from slaughtered sheep were examined and the first (L1), second (L2) and third (L3) O. ovis larval instars were recovered from the nasal and sinus cavities. O. ovis larvae were detected in 13.7% of the sheep analyzed. The monthly mean intensity of infestation ranged from 1 to 10.2 larvae per infested head, with general mean intensity of 4.5 larvae/infested head. Of the total of 85 larvae, 21.2% were L1, 37.6% L2 and 41.2% L3. In conclusion, all different O. ovis larvae instars were recovered from slaughtered animals, which demonstrates the existence of favorable climatic conditions for the fly activity and larval development of O. ovis in sheep raised in the Central region of the State of São Paulo.

Com o objetivo de determinar a prevalência e intensidade de infestação por larvas de Oestrus ovis na região Central do Estado de São Paulo, 139 cabeças de ovinos obtidas de um abatedouro foram examinadas. As larvas O. ovis foram recuperadas da cavidade nasal e seios frontais, identificadas de acordo com o estádio larval e quantificadas. As larvas de O. ovis foram detectadas em 13,7% das cabeças examinadas e a intensidade média mensal de infestação variou entre 1 a 10,2 larvas/cabeça infestada, com média geral de 4,5 larvas/cabeça infestada. Do total de 85 larvas recuperadas, 21,2% eram larvas de primeiro estádio (L1), 37,6% de segundo (L2) e 41,2% de terceiro (L3). Em conclusão, todos os diferentes instares larvais de O. ovis foram recuperados de animais abatidos, o que demonstra a existência de condições climáticas favoráveis para a atividade da mosca bem como o desenvolvimento larval em ovinos criados na região Central do Estado de São Paulo.

Primer reporte de miasis hospitalaria por Lucilia cuprina (Diptera: Calliphoridae) en Costa Rica / First report of nosocomial myiasis by Lucilia cuprina (Diptera: Calliphoridae) in Costa Rica

Introducción. Las miasis hospitalarias son entidades con una importancia manifiesta en salud pública. La documentación de este tipo de casos es escasa en la literatura biomédica regional y mundial. Objetivo. Informar un caso de miasis hospitalaria en Costa Rica, donde el agente etiológico implicado fue Lucilia cuprina (Diptera: Calliphoridae). Este caso de miasis hospitalaria figura como el primer informe para Latinoamérica asociado con este agente etiológico. Presentación del caso. Una paciente de 91 años de edad, con signos de inmunosupresión, afectación grave de la función pulmonar y asistencia respiratoria mecánica, presentó larvas en ambas fosas nasales al séptimo día después del ingreso hospitalario. Varios ejemplares fueron recolectados y procesados para su identificación. La identificación taxonómica de los ejemplares recolectados estableció que la especie de los muscomorfos correspondía a L. cuprina. Conclusión. El presente constituye el primer caso de miasis hospitalaria por L. cuprina en la literatura biomédica de Costa Rica y el primero registrado en Latinoamérica.

Introduction. Nosocomial myiases can be an important condition from a public health perspective. However, cases of this condition reported in regional and worldwide biomedical literature are scarce. Objective. A case of nosocomial myiasis is reported from Costa Rica, where the species involved was Lucilia cuprina (Diptera: Calliphoridae). Materials and methods. A 91-year-old patient with signs of immunosuppression, severe impairment of lung function, and mechanical ventilation presented larvae in both nostrils on the seventh day after admission. Five specimens were collected and processed for identification. Results. The taxonomic identification of the specimens established that the muscoid fly species was L. cuprina. Conclusion. This is the first case of nosocomial myiasis reported from Costa Rica and in Latin America for which the etiological agent is L. cuprina.

Primer reporte de pseudomiasis intestinal humana por Eristalis tenax (Diptera, Syrphidae) en zona semiárida urbana del estado Falcón, Venezuela / First report of human intestinal pseudomiasis by Eristalis tenax (Diptera, Syrphidae) in urban semiarid area from Falcon state, Venezuela

Pseudomiasis es el término empleado cuando se considera que las larvas y/o huevos de moscas se adquieren accidentalmente per os y atraviesan con inmediatez a lo largo del tracto digestivo. Se documenta un caso de una pseudomiasis intestinal por larvas de Eristalis tenax (Diptera: Syrphidae) en una paciente femenina de 39 años de edad, proveniente de un sector periférico de la ciudad de Coro, estado Falcón, Venezuela. La paciente observó inmediatamente la presencia de la larva viva en sus heces. Aunque refirió sufrir eventualmente de cólicos, al examen físico se presentó normal. La paciente aparentemente no sufre de trastornos mentales, y posee un nivel socioeconómico bajo. El presente trabajo constituye el primer reporte documentado de una pseudomiasis entérica por E. tenax en la zona semiárida del estado Falcón, en la región nor-occidental de Venezuela.

Pseudomyiasis is the term used for the accidental entrapment of swallowed fly maggots and/or eggs immediately passing through the digestive tract. We report a case of intestinal pseudomyasis caused by the larvae of the cosmopolitan drone fly Eristalis tenax (Diptera: Syrphidae) in a 39 year old woman, resident in a suburban sector from Coro city, Falcon state, Venezuela. The patient immediately noticed a living larva in her stool. Although patient referred eventually became colic, her physical examination was normal, with no mental disturbance. She was in a low socioeconomic level. This is the first report of an enteric pseudomyasis by E. tenax in the semiarid zone of Falcon state, in the northwestern region of Venezuela.

Epidemiological study of myiases in the Hospital do Andaraí, Rio de Janeiro, including reference to an exotic etiological agent

Myiases are infestations with dipteran larvae in both necrosed and living tissues, the food source of these insects. These illnesses occur in warm humid climates, and are most frequent in developing countries. We assessed the epidemiological aspects and the influence of climate on the occurrence of myiases and the bioagents in patients admitted to the federal Hospital do Andaraí in Rio de Janeiro from February 2007 to 2008. The influence of abiotic factors (temperature, humidity, and rainfall) on the incidence of myiases was investigated by using the Pearson's correlation test. Of the 40 patients studied, the prevalence of myiases was higher in adults, particularly in the 40 to 65 year-old (37.5 percent) African descent males (57.5 percent). Most of the injuries were caused by trauma (62.5 percent). Some patients made use of licit (50 percent) and illicit drugs (17.2 percent). The occurrence of myiases was not affected by the abiotic factors investigated. The cases reported here were treated in only one hospital, indicating that the disease is relatively common. The most frequent bioagent was Cochliomyia hominivorax (Coquerel), but Cochliomyia macellaria (Fabricius), Chrysomya albiceps (Wiedemann) and Dermatobia hominis (Wiedemann) (Diptera: Calliphoridae) were also detected causing myiases. Chrysomya albiceps is an exotic etiologic agent of myiases.

Miasis en cavidad bucal / Oral cavity myiasis

Miasis deriva del griego myia: mosca. Son afecciones causadas por la presencia de larvas de moscas en los órganos y tejidos humanos o de otros animales, donde evolucionan como parásitos. Son atraídas por secreciones y olores, de positan sus huevos en el borde de las heridas, los orificios naturales y sobre la superficie cutánea con sangre coagulada y costras secas. Puede ser u na enfermedad benigna, leve o grave e incluso cursar en forma asintomática. La mortalidad es inferior al 10 por ciento y generalmente se asocia con lesiones cerebrales o de otras partes del sistema nervioso. El diagnóstico se basa en el examen clínico mediante la visualización de la larva. El objetivo de este artículo es describir un caso de miasis en la cavidad bucal y transmitir al odontólogo los conocimientos básicos de esta parasitosis.

Clinical etiology of myiasis in ENT: a reterograde period - interval study / Etiologia clínica da miíase em otorrinolaringologia: um estudo retrospectivo

Myiasis in ENT, once a deadly disease still presents as a significant outdoor problem, though advances in management including supportive therapy has led to early healing with significant reduction in bed occupancy rate. AIMS: To assess the clinico etiology, relationship of myiasis to habit and habitat of patients and to assess the changes in age, seasonal, socioeconomic incidence, nasal bacterial flora and usefulness of certain commonly done tests with reference to a gap of 25 years. MATERIALS & METHODS: The presenting study was conducted on 80 patients selected over a period of two time intervals ; first 40 cases were chosen from 1979 to 1980 and next 40 over 2003 to 2004. Cases were studied in a retrograde manner and data tabulated. RESULTS & CONCLUSIONS: Atrophic turbinates was the commonest pathological finding in nose in 30 percent of cases . Significant change seen was in the age group 51 and above with a rise of 30 percent. Mode during 2003-04 was 60 years. Incidence of palatal perforation dropped from 17.88 to 2.5 percent . Klebsiella emerged as a significant contributor to the nasal microbial flora. VDRL and split skin smear showed poor etiological association for the diseases.

Miíase em ORL não é mais uma doença fatal, mas ainda está presente como um significativo problema em ambientes externos. Entretanto, progressos alcançados no tratamento, incluindo terapêutica de suporte, têm levado à cura precoce com significativa redução na taxa de internação hospitalar por causa dessa enfermidade. OBJETIVOS: Avaliar a etiologia clínica e as associações entre miíase e os hábitos e habitats dos pacientes; e avaliar diferenças no tocante à idade, estação do ano, incidência socioeconômica, flora bacteriana nasal e a utilidade de certos exames comumente feitos - um estudo retrospectivo de 25 anos. MATERIAIS E MÉTODOS: O presente estudo envolveu 80 pacientes selecionados em dois períodos; os primeiros 40 casos foram selecionados de 1979 a 1980, e os 40 seguintes foram coletados entre 2003 e 2004. Os casos foram estudados de forma retrospectiva e os dados foram analisados em tabelas. RESULTADOS E CONCLUSÕES: Cornetos atróficos representaram o achado nasal patológico mais comum - em 30 por cento dos casos. Alterações significativas foram encontradas na faixa etária dos 51 anos e acima, com um aumento de 30 por cento nestes. A média etária entre 2003-04 foi de 60 anos. A incidência de perfuração palatina caiu de 17,88 por cento para 2,5 por cento. Klebsiella foi o germe mais significativamente presente na flora microbiana nasal. Os exames de VDRL e teste cutâneo mostraram pobre associação etiológica entre as doenças.

Prevalence of dipterous flies associated with human and animal diseases in Matruh and South Sinai governorates, Egypt

The present study identified the dipterous flies associated with human and animal diseases in Matruh and South Sinai Governorates. The results indicated that 49817 belonging to 13 families, 24 genera and 33 species were trapped from Matruh Governorate and 3708 flies belonging to 9 families, 13 genera and 16 species were trapped from South Sinai Governorate from January to December 2009. M. domestica was the most abundant in both Governorates. Statistical analysis showed that species of all families were significantly higher in Matruh Governorate than South Sinai Governorate due to spread of garbage, fermented fruits and human and animal excreta

Incidence of myiasis in Panama during the eradication of Cochliomyia hominivorax (Coquerel 1858, Diptera: Calliphoridae) (2002-2005)

We present the results of a study on myiasis in Panama during the first years of a Cochliomyia hominivorax eradication program (1998-2005), with the aim of investigating the behavior of the flies that produce myiasis in animals and human beings. The hosts that registered positive for myiasis were cattle (46.4 percent), dogs (15.3 percent), humans (14.7 percent), birds (12 percent), pigs (6 percent), horses (4 percent), and sheep (1 percent). Six fly species caused myiasis: Dermatobia hominis (58 percent), Phaenicia spp. (20 percent), Cochliomyia macellaria (19 percent), Chrysomya rufifacies (0.4 percent), and maggots of unidentified species belonging to the Sarcophagidae (3 percent) and Muscidae (0.3 percent). With the Dubois index, was no evidence that the absence of C. hominivorax allowed an increase in the cases of facultative myiasis.

Human myiasis in western Jamaica: five years after the implementation of a screwworm eradication programme

OBJECTIVE: To determine the distribution of cases of human myiasis admitted to the Cornwall Regional Hospital (CRH), Jamaica, between 1999 and 2003, following the inception of the National Screwworm Eradication Programme (NSEP) in 1998, and the risk factors associated with the condition. METHOD: A total of 144 cases of myiasis were retrieved from the database of the department of Medical Records at the CRH for the years 1999 to 2003. A data extraction form was devised to review the circumstances of each case. The data were analyzed using EpiInfo version 6. RESULTS: Of 144 cases, 54.9% were female and 45.1% male. The largest groups were < 10 years, 52.8% [76/144 (M-21, F-55)] and 60years and over, 18.8% [27/144 (M-16, F-I)] (p < 0.001). Case distribution for the years 1999-2003 showed 16, 39, 31, 30, and 28 cases respectively. Three-quarters (74.6%) of all cases affected the scalp/head one-fifth (20.3%) affected the lower limbs. Ninety-six per cent of those < 10 years had scalp/head myiasis (p < 0.001; OR = 23.29; CI: 6.14 < OR < 104.11). Two-thirds (66.6%) of those 60 years and over had lower limb myiasis (p < 0.001; OR = 19.09; CI: 6.20 < OR < 61.12). Mean duration of treatment was 3.5 days (SD = 1.4 days) and 69.7% required hospitalization for seven or more days. There was no difference in duration of treatment for myiasis or in length of hospitalization in relation to method used to eliminate maggots. Risk factors identified included Tinea capitis for myiasis of the scalp/head (p < 0.001) and diabetes mellitus for lower limb myiasis (p < 0.001; OR = 14.48; CI: 2.37 < OR < 133.25). CONCLUSION: Human myiasis remains a public health issue in western Jamaica with no significant decreasing trend in the number of cases admitted to the CRH since 1999. It is recommended that this zoonosis become a Class 1 notifiable disease to the Ministries of Health and Agriculture because of the existing NSEP.

Geoprocessamento aplicado à observação da sazonalidade das larvas da mosca Dermatobia hominis no município de Seropédica - RJ / Geoprocessing applied to the seasonality of Dermatobia hominis larvae in the municipality of Seropédica, Rio de Janeiro

Associações espaço-temporais entre os fatores envolvidos na distribuição sazonal das larvas da mosca do berne - Dermatobia hominis (Linnaeus Jr., 1781) (Diptera: Cuterebridae) - em bovinos foram analisadas por geoprocessamento, utilizando-se o sistema de análise geoambiental da Universidade Federal do Rio de Janeiro, no município de Seropédica, RJ. Na primavera, 50 por cento da área do município foi muito favorável ao desenvolvimento dessa miíase. Esse grau de favorabilidade reduziu-se para 35 por cento, 23 por cento e 12 por cento no verão, outono e inverno, respectivamente

Space-temporal associations between factors involved in the seasonal distribution of Dermatobia hominis (Linnaeus Jr., 1781) (Diptera: Cuterebridae) fly larvae in cattle were analyzed by geoprocessing using the geo-environment system of the Universidade Federal do Rio de Janeiro, in the municipality of Seropédica, RJ. In the spring, 50 percent of the area was favorable, reducing its extension to 35 percent in the summer, to 23 percent in the fall and to 12 percent in the winter

Urgent penectomy in a patient presenting with epidermoid carcinoma of the penis associated to myiasis

The objective of this study is to describe the case of a patient presenting advanced epidermoid carcinoma of the penis associated to myiasis. A 41-year-old patient presenting with a necrotic lesion of the distal third of the penis infested with myiasis was attended in the emergency room of our hospital and was submitted to an urgent penectomy. This is the first case of penile cancer associated to myiasis described in the literature. This case reinforces the need for educative campaigns to reduce the incidence of this disease in developing countries.

Miíases associadas com alguns fatores sócio-econômicos em cinco áreas urbanas do Estado do Rio de Janeiro / Myiasis associated with some socioeconomic factors in five urban areas of the State of Rio de Janeiro

Trata-se de um estudo epidemiológico descritivo com o objetivo de avaliar a ocorrência de miíases humanas em áreas urbanas de quatro municípios do Estado do Rio de Janeiro. Foram analisados 71 pacientes que procuraram espontaneamente o atendimento em Postos de Saúde, no período de outubro de 1999 a outubro de 2003. Maior prevalência da doença foi encontrada em adultos e idosos acima de 51 anos (42,3 por cento) e em menores de 10 anos (33,8 por cento). Do total dos casos estudados, 62 por cento incluíam-se no nível sócio-econômico baixo; 60,6 por cento eram do sexo masculino e 33,8 por cento dos indivíduos infestados, sem profissão. Nos casos analisados as espécies bioagentes foram Cochliomyia hominivorax (Coquerel, 1858); Dermatobia hominis (Linnaeus Jr, 1781) e Cochliomyia macellaria (Fabricius, 1775). Os resultados apontam para a associação da doença com as condições de vida e de higiene dos pacientes, sinalizando para a necessidade de atenção mais específica à saúde dos grupos mais vulneráveis.

This was a descriptive epidemiological study with the aim of evaluating the occurrence of human myiasis in urban areas of four municipalities in the State of Rio de Janeiro. Seventy-one patients who spontaneously sought attendance at primary healthcare units between October 1999 and October 2003 were examined. The disease was more prevalent among adults, including in individuals more than 51 years old (42.3 percent), and among children less than 10 years old (33.8 percent). From all the cases studied, 62 percent were of low socioeconomic level; 60.6 percent were male; and 33.8 percent of the infested individuals were unemployed. In the cases analyzed, the bioagent species were Cochliomyia hominivorax (Coquerel, 1858), Dermatobia hominis (Linnaeus Jr, 1781) and Cochliomyia macellaria (Fabricius, 1775). The results point towards an association between the disease and the patientsÆ living and hygiene conditions. This indicates the need for more specific healthcare among more vulnerable groups.

Miíase primária em coelho doméstico causada por Lucilia eximia ( Diptera: Calliphoridae ) no Brasil: relato de caso / Primary myiasis in a domestic rabbit caused by Lucilia eximia ( Diptera: Calliphoridae ) in Brazil: case report

Relata-se a ocorrência de miíase primária em coelho doméstico Oryctolagus cuniculus (Lagomorpha: Leporidae) causada por Lucilia eximia (Diptera: Calliphoridae) em área urbana do município de Campinas, São Paulo.

The occurrence of primary myiasis in a domestic rabbit Oryctolagus cuniculus (Lagomorpha: Leporidae) caused by Lucilia eximia (Diptera: Calliphoridae) is reported in an urban area in the city of Campinas, São Paulo, Brazil.

Infestación de Smittium culisetae (trichomycetes) en larvas de mosquitos (diptera: culicidae) en el Valle Central de Costa Rica / Infestacion of Smittium culisetae (trichomycetes) in larvae of mosquitos (diptera: culicidae) in the Central Valley of Costa Rica

Los trichomycetes incluyen un interesante grupo de hongos filamentosos de distribución cosmopólita que se han adaptado a vivir como comensales obligados en el intestino de diversos grupos de artrópodos. Al menos una especie de Smittium es patogénica para los mosquitos que infecta. Esta investigación se realizó con el propósito de establecer que tan amplia es la infestación de Smittium culisetae en larvas de mosquito colectados en el Valle Central de costa Rica entre 1998 y el 2001. Se empleó técnicas entomológicas usuales para la colecta de los insectos, su cría con fines de identificación taxonómica y larvas de 3er. y 4o estadío se disecaron para exponer y estudiar el contenido del tracto digestivo. Se encontró un porcentaje de infestación de 25.8 por ciento, un valor semejante a lo informado por otros autores en otras regiones. No se encontró parásitos de otro tipo en los especímenes colectados.

Trichomycetes constitute a cosmopolitan group of filamentous fungi which are obligate symbionts in the digestive tracts of arthropods. Although this relationship in most species is apparently of a commensalistic nature, at least one species of Smittium has been reported as pathogenic. This study was conducted to determine the level of infestation of S. culisetae in mosquito larvae in the central region of Costa Rica, and to detect other parasites of this medically important group of insects during 1998-2001. Larvae were reared using standard entomological techniques to obtain adults for taxonomic identification; third and fourth stage larvae were dissected to reveal gut contents. A total of 27 mosquito species were collected. The infestation rate in 670 larvae examined was 25.8% which is similar to findings in other areas. Infested larvae did not show any pathological symptoms nor were other parasites of mosquitoes found.