A human case of internal myiasis in Korea

Case Report


Korean J Parasitol. 1996 Jun;34(2):151-154. Korean. Published online Jun 20, 1996. http://dx.doi.org/10.3347/kjp.1996.34.2.151
Copyright © 1996 by The Korean Society for Parasitology


A human case of internal myiasis in Korea
P R Chung,^*¹Y Jung,¹K S Kim,¹S K Cho,²S Jeong,² and H I Ree³
¹Department of Parasitology, Inha University College of Medicine, Inchon 402-751, Korea.

Received December 01, 1995; Accepted April 15, 1996.
Abstract
A 71-year old male patient was admitted in Inha hospital due to right facial palsy, quadriplegia and aphasia. This patient was operated to replace his heart values 7 years ago and has been treated with Coumarin®, an anti-coagulant drug, to prevent the formation of thrombus in the heart. A number of fly maggots continuously crawled out from the nasogastric tube set up for supplying a liquid diet and patient's mouth for 2 days until his death in the intensive care unit of hospital. These maggots were about 11.5 mm long on the average and identified as genus Lucilia belonging to family Calliphoridae. The lesion of this myiasis case might be regarded in the gastro-intestinal system of patient. This is the first report of an internal myiasis case in Korea.

Figures


	Fig. 1 Three calliphorid maggots (Family Calliphoridae: Genus Lucilia) in the 2nd and 3rd instar stages, witch were removed from the oral cavity of the present case.


	Fig. 2 A, A maggot showing 2 spiracles (sp); B, Magnified spiracles. Each of posterior spiracles consists of three sausage-shaped spiracular openings surrounded by peritreme with a button (× 300).

References


2.	Braverman I, Dano I, Saah D, Gapany B. Aural myiasis caused by flesh fly larva, Sarcophaga haemorrhoidalis. J Otolaryngol 1994;23(3):204–205.

3.	Browne MA. Unusual ocular manifestation: ophthalmomyiasis. J Ophthalmic Nurs Technol 1993;12(5):225–228.

5.	Hasegawa S, Miwata H, Masuda S, Naruse H, Ozaki T. An infantile case of intestinal myiasis. Acta Paediatr Jpn 1992;34(1):87–89.

6.	Korzets Z, Bernheim J, Lengy J, Gold D. Human urogenital myiasis due to Eristalis larva: an unusual cause of ureteric obstruction. Nephrol Dial Transplant 1993;8(9):874–876.

9.	Saleh MS, el Sibae MM. Urino-genital myiasis due to Piophila casei. J Egypt Soc Parasitol 1993;23(3):737–739.

*10.*	Shekhawat PS, Joshi KR, Shekhawat R. Contaminated milk powder and intestinal myiasis. Indian Pediatr 1993;30(9):1138–1139.

*11.*	Siripoonya P, et al. J Med Assoc Thai 1993;76(2):229–231.

*12.*	Sood A, Mahajan R, Varshney P, Chawla LS, Singh A. Intestinal myiasis--report of two cases. Indian J Gastroenterol 1994;13(1):28.