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Molecular approaches to the study of myiasis-causing larvae.

Among arthropod diseases affecting animals, larval infections - myiases - of domestic and wild animals have been considered important since ancient times. Besides the significant economic losses to livestock worldwide, myiasis-causing larvae have attracted the attention of scientists because some parasitise humans and are of interest in forensic entomology. In the past two decades, the biology, epidemiology, immunology, immunodiagnosis and control methods of myiasis-causing larvae have been focused on and more recently the number of molecular studies have also begun to increase. The 'new technologies' (i.e. molecular biology) are being used to study taxonomy, phylogenesis, molecular identification, diagnosis (recombinant antigens) and vaccination strategies. In particular, more in depth molecular studies have now been performed on Sarcophagidae, Calliphoridae and flies of the Oestridae sister group. This review discusses the most topical issues and recent studies on myiasis-causing larvae using molecular approaches. In the first part, PCR-based techniques and the genes that have already been analysed, or are potentially useful for the molecular phylogenesis and identification of myiasis-causing larvae, are described. The second section deals with the more recent advances concerning taxonomy, phylogenetics, population studies, molecular identification, diagnosis and vaccination.

Animals↗

Traumatic myiasis of geese in Hungary.

Five geese flocks were surveyed to gather data on the prevalence and clinical manifestation of traumatic myiasis and the fly species involved. Myiasis was recorded in all the flocks and the total number of infested geese was 26 (ca. 0.1% of the total numbers). The first cases were observed at the end of May, the last ones in August. Most birds (16/26) were infested in August. Each affected goose had only one lesion, which was located more frequently on the wings (14/26) than on any other body. In seven geese, Wohlfahrtia magnifica (Diptera: Sarcophagidae) was the only myiasis-causing species. In these cases the detransformed mean number of larvae per wound was 18.1 (range 5-40). Lucilia sericata (Diptera: Calliphoridae) was found to be solely responsible for the lesions of 12 birds, with detransformed mean of 94.0 (range 2-893) larvae per goose. The larvae of this species appeared to be generally less invasive than those of W. magnifica, but in three cases they were also deeply embedded in the wounds. In seven geese larvae of both fly species developed together in and around the wounds. With the exception of one lesion, there were more larvae of W. magnifica (detransformed mean of 21.8 with a range of 1-55) than that of L. sericata (detransformed mean of 11.2 with a range of 2-61) in these mixed infections. Predisposing conditions for development of traumatic myiasis in geese included plucking of feathers, other injuries and bacterial infections (e.g. inflammation of the phallus).

Animals↗

A rare case of gingival myiasis caused by diptera (Calliphoridae).

Myiasis was first described by Hope in 1840. Since then, many cases of myiasis affecting different human organs have been reported. Oral myiasis is very rare in healthy persons but occurs mainly in the tropics and associated with inadequate public and personal hygiene. In this case report, we present clinical findings gingival myiasis. The patient was 26-year-old farmer and his chief complaint was discomfort and swelling in his maxillary gingiva. The patient's medical and family histories were non-contributory and oral hygiene was not acceptable. The diagnosis was based on the characteristic clinical features and the visual presence of wriggling larvae about 1 cm in size. The larvae were identified as Calliphoridae. Treatment consisted of removal of the maggots from the gingival sulcus, followed by scaling and oral hygiene instruction. One week later, a periodontal flap operation was done. The patient was followed-up for 6 months and healing was uneventful.

Adult↗

Suspected intestinal myiasis due to Dryomyza formosa in a Japanese schizophrenic patient with symptoms of delusional parasitosis.

A third-stage larva of Dryomyza formosa (Wiedemann) (Diptera: Dryomyzidae) was found in the fresh stool of a 27-year-old Japanese woman resident of Shiobara, 150 km north of Tokyo, on 16 November 1998. This is the first record of myiasis due to Dryomyza. Detection of this maggot (2cm long) by the patient herself was associated with her longstanding delusion of abdominal parasitosis as a symptom of chronic schizophrenia. Circumstantial evidence agreed with this being a genuine case of intestinal myiasis, apparently due to accidental ingestion of the insect, with no signs that the patient had contrived the report, nor that the maggot had invaded the stool post-defaecation. This case draws attention to the likelihood that some personality states are predisposed to noticing and reporting myiasis, when it occurs. We review other conditions (mental and physical) that are more prone to myiasis.

Adult↗

Trapping the flies that cause myiasis: their responses to host-stimuli.

A critical phase in the life cycle of the fly species that cause myiasis is host location by the adult females, whether by direct location of and contact with the host, or by indirect location through the selection of sites frequented by hosts. The stimuli to which these flies respond in host location, principally visual and olfactory, are discussed here in the context of their use to enhance the performance of trapping systems used in research, monitoring and control. The three major families of flies encountered in myiasis can be divided into two groups for comparison of host-location strategies: (1) Oestridae; and (2) Calliphoridae and Sacrophagidae. The former are all obligate parasites, the latter include obligate and primary facultative parasites. In the Oestridae, the majority of Cuterebrinae deposit their eggs at sites likely to be visited by the host, whereas the majority of Oestrinae, Hypodermatinae and Gasterophilinae deposit their eggs or larvae directly onto the host. It is presumed that most host location is, like that of haematophagous insects, by response to olfactory and visual cues released by healthy hosts, but the subject is very under-researched. In the Calliphoridae and Sacrophagidae, most species that cause myiasis deposit their eggs or larvae directly onto the host at some predisposing site, such as those caused by wounding, necrosis and/or bacterial contamination. Healthy hosts are much less attractive, even for obligate species such as Wohlfahrtia magnifica, which can invade undamaged tissues. The last decade has seen a renewed interest in the potential for using traps in control of myiasis, leading to significant advances in trap and bait efficiency. However, there is great potential for further research and development, particularly on the general responses of Oestridae to hosts and in the precise identification of the olfactory cues for Calliphoridae and Sarcophagidae.

Animals↗

Autochthonous furuncular myiasis in the United States: case report and literature review.

Most cases of furuncular myiasis in the United States are acquired during travel to other countries. Autochthonous cases are infrequently reported and are most often due to accidental infestation of humans by larvae of flies belonging to the genus Cuterebra, commonly known as "rabbit bot flies" or "rodent bot flies." We describe a case of furuncular myiasis due to Cuterebra larvae in the hand of a patient residing in Wisconsin. The infestation was acquired while the patient gardened near a seepage lake during August. The patient developed papular lesions on the hand and received therapy for presumed bacterial furunculosis, which did not lead to improvement. Retrieval of one of the larvae from the patient permitted identification of the causative agent, and application of an occlusive ointment resulted in complete cure. North American cuterebrid myiasis is rare, and the diagnosis is frequently delayed. Myiasis should be considered when treating patients with refractory furunculosis.

Adolescent↗

Healthcare-associated myiasis: prevention and intervention.

Healthcare-associated myiasis (maggot infestation) can have complications that go well beyond the medical consequences of the infestation for patients, their families, and facilities. Prevention of healthcare-associated myiasis requires effort on two fronts: minimizing patient risk factors and reducing fly populations in the healthcare environment. If myiasis occurs, intervention must be swift, thorough, and interdisciplinary. The first priority always is the well-being of the patient. Preservation and identification of the maggots can help determine the likely timing and circumstances that led to the infestation. Conditions favoring the infestation must be identified and then corrected. Free and rapid communication must be promoted. A single designated knowledgeable spokesperson to communicate with the patient, employees, and, as needed, the media will reduce miscommunication and hasten mitigation. Following the guidelines presented in this document, healthcare facilities should be able to reduce the likelihood of healthcare-associated myiasis and effectively intervene when such events occur.

Animals↗

First report of human myiasis caused by Chrysomya megacephala and Chrysomya rufifacies (Diptera: Calliphoridae) in Thailand, and its implication in forensic entomology.

We report a forensic entomology case associated with human myiasis in Chiang Mai Province, northern Thailand. The remains of a 53-yr-old-male were concurrently infested with third instars of the two blow fly species, Chrysomya megacephala (F.) and Chrysomya rufifacies (Macquart), near a severe tumor lesion presented on the lower right leg. The presence of third instars, approximately 5 d old, on the day following postmortem indicated that myiasis occurred before death. This is the first report of both fly species acting as a myiasis-producing agent in Thailand. Unsynchronized data between the age of fly larvae due to myiasis premortem and verified age/ condition of the corpse suggest a potential complication and error in the estimation of postmortem interval if other predisposition fly infestations are not considered.

Animals↗

Case report: myiasis--the botfly boil.

Cutaneous furunculoid myiasis arises from the infestation of skin or mucous membranes with dipterous larvae. Myiasis from the botfly Dermatobia hominis is a common parasitic disease of the tropics of Central and South America, and may present in the United States. With increasing travel by U.S. citizens, there is potential for increased occurrence; it is important to be able to accurately diagnose myiasis and differentiate it from entities with similar presentations, such as leishmaniasis. The authors describe four cases of myiasis from D. hominis infestation and review clinical features, differential diagnosis, and treatment.

Adult↗

Cutaneous myiasis caused by larvae of Cordylobia anthropophaga (Blanchard).

BACKGROUND: Cordylobia anthropophaga (Blanchard) is a nonhematophagous dipteron belonging to the Calliphoridae family. It produces a myiasis called "tumbu fly" or "ver de Cayor" or "mango fly" or "skin maggot fly". CASE REPORTS: We describe two women, 24 and 23 years of age, affected by cutaneous myiasis caused by the larva of Cordylobia anthropophaga. In both cases the myiasis was contracted in Senegal and was characterized by a single lesion localized to the flank and the thigh respectively. From each of these lesions a single larva was extracted. DISCUSSION: This myiasis represents a typical example of tropical disease that in the past was unknown to Western dermatologists.

Adult↗

The value of Doppler ultrasound in diagnosis in 25 cases of furunculoid myiasis.

BACKGROUND: The larvae of the botfly Dermatobia hominis cause furunculoid myiasis in endemic areas. Lack of knowledge of this condition outside these areas leads to confusion in diagnosis and delays appropriate treatment. OBJECTIVE: To describe the clinical findings of furunculoid myiasis encountered in Quintana Roo, in the south-east of Mexico. MATERIALS AND METHODS: We performed an observational study on 25 cases diagnosed over a period of 4 years. RESULTS: Diagnosis of furunculoid myiasis was made in 14 males and 11 females with an average age of 24.5 years. Most of our patients were students, farmers, or housewives. The number of lesions varied from one to four. In 20% of cases, more than one parasite was present in each lesion. The scalp was the most commonly affected region (40%), followed by the trunk and the extremities. Doppler ultrasound study (DUSG) of the furuncle-like lesions confirmed the clinical diagnosis in all cases. CONCLUSIONS: Furunculoid myiasis is frequent in the state of Quintana Roo, Mexico. We found no association with occupation, gender, social background or age. DUSG can be used to evaluate the number of parasites per furunculoid lesion avoiding misdiagnoses and treatment delays.

Adolescent↗

Vulvar myiasis during pregnancy.

Myiasis is a parasitic infestation caused by the larvae of several fly species. Diagnosis and treatment are simple. The location of this infestation at the vulvar area is, however, an extremely rare occurrence. The authors present two cases of vulvar myiasis affecting pregnant women. The first case is a 19-year-old pregnant girl with vulvar myiasis and concomitant syphilis, vaginal trichomoniasis and genital candidiasis. The patient was also HIV-positive. The second case is a 17-year-old pregnant girl with vulvar myiasis associated with extensive vulvar condyloma acuminatum lesions.

Abortion, Spontaneous↗

The respiratory and allergic manifestations of human myiasis caused by larvae of the sheep bot fly (Oestrus ovis): a report of 33 pharyngeal cases from southern Iran.

Myiasis--the feeding of fly larvae on living mammals--may have various presentations, depending on the tissues or organs involved. The respiratory and non-respiratory manifestations of human pharyngeal myiasis caused by Oestrus ovis larvae in 33 patients from the Fars province, in southern Iran, are described here. All but one of the 33 cases were male and all lived in rural areas, in close contact with sheep and goats. The myiasis only occurred in spring and summer (April-September). Symptoms always appeared abruptly, all of the cases sensing the presence of foreign bodies in their throats, a burning sensation and itching in the throat being followed by cough and then various other respiratory, nasal, aural, and eye manifestations. Fly larvae were observed directly in the throats of five patients, and recovered in throat washings from all 33 cases. All of the larvae were identified as those of the sheep bot fly (Oestrus ovis). Removal of the larvae, by irrigation of the throat with a large volume of normal saline, provided an effective and fast treatment. In Iran at least, myiasis caused by Oestrus ovis larvae should be considered an occupational disease among farmers who keep sheep and goats.

Adolescent↗

Cutaneous myiasis from Dermatobia hominis.

We present a case report of cutaneous myiasis in a foreign traveler who was infected by Dermatobia hominis while visiting South America. This patient developed a painful furuncular lesion on the anterior scalp and noted that the lesion drained a serosanguinous fluid for more than a month before definitive treatment. Invasion of mammalian tissue by the larval forms of D. hominis typically results in the formation of a classic furuncular lesion. For persons who present with a lesion that contains a central draining stoma located on an exposed body surface, the diagnosis of myiasis should always be considered. In addition to the case report, we present a discussion of furuncular myiasis and describe the peculiar life cycle of the human botfly. We also describe the various therapies that may be employed for treating cutaneous myiasis, including surgical extraction of the larva and asphyxiation of the larva by application of petroleum jelly or other fat derivatives to the central stoma or breathing aperture.

Adult↗

Cutaneous myiasis presenting as chronic furunculosis--case report.

Myiasis is the infection of tissue or organ of living humans or animals by the maggot or larval stages of flies. In Africa, the most common fly responsible for cutaneous myiasis is the tumbu fly, Cordylobia anthropophaga. We present two cases of cutaneous myiasis seen on the upper abdominal wall and anterior chest wall. Both were initially diagnosed as furuncle (common boil), but from high index of suspicion of myiasis, followed by application of petroleum jelly and palm oil to occlude the spiracle and the expulsion of larva stage of Cordylobia anthropophaga the diagnoses in both cases were confirmed.

Animals↗

[Imported myiasis. Report of a case and prevention measures].

Myiasis is the invasion of tissue by larvae of flies. They parasitize living tissues (specific myiasis) or cavity of warm blood animals compulsorily, optional (hemispecific myiasis) or accidentally (accident myiasis). It is frequent in sub-saharian Africa, while in European countries only imported cases are described. A case personally observed and some measures for prevention are described.

Adult↗

[Myiasis caused by Dermatoba hominis after an organized tours in Amazonia].

BACKGROUND: Human cutaneous myiasis is a common disease in endemic tropical zones. The incidence of imported cases follows the development of organized tours in the tropics. CASE REPORTS: We report 2 cases of Dermatobia hominis furonculoid myiasis in patients who took 2 different organized tours which both visited the same Amazonian site in Peru (Puerto Maldonado). DISCUSSION: In Latin American countries, D. hominis myiasis is transmitted by Diptera (generally mosquitos, rarely flies) who carry eggs laid by an adult fly to man. This phenomena is called "phoresia" and explains the preferential localization of lesions in exposed areas unlike African myiasis caused by Cordylobia anthropophaga which contaminates clothing soiled when drying.

Adult↗

Myiasis in sheep farms in Riyadh Region, Saudi Arabia.

During a survey for myiasis in Riyadh Region, 3712 sheep were examined. 73 animals (2%) were infested with different dipterous larvae. Out of the 115 larvae recovered, 100 larvae (87%) were Chrysomya bezziana, 10 (8.7%) were C. albiceps, and 5 (4.3%) were Wohlfahrtia nuba. The prevalence rate of larval myiasis among young sheep was 60%, and 40% among adults. The myiasis incidences were highest during Mar-May (60%) and Sept-Nov (31.5%) where temperature and R.H. are optimum. In the dry hot season (Jun-August) and cold season (Dec-Feb) infestation incidences were low (5%&1.5% respectively). Temperature and R.H. are conducive in controlling myiasis in other regions of the Kingdom.

Animals↗