Urogenital Myiasis Caused by Psychoda albipennis Larvae (Diptera: Psychodidae) in Ahvaz, South Western Iran: A Case Report

Document Type : Case Study

Authors

1 دانشگاه شهید چمران اهواز

2 Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Department of Pathobiology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

10.32592/ARI.2024.79.5.1117

Abstract

Urogenital myiasis is a rare parasitic infestation caused by larvae Psychoda albipennis. The settlement, feeding, and activity of larvae in urogenital tracts lead to disorders of the urinary and reproductive systems. This study presents a 36-year-old man with the main complaint of dysuria, hematuria, urethral discharge, and abdominal flank pain. He observed some black-grayish-colored mobile particles in his urine three times over eight months period. He was referred to the urology outpatient clinic and received anti-cystitis and/or urethritis treatment. But his symptoms did not improve and observed some larvae in his urine. After investigations of his urine under the light microscope, some alive, stirring, and hairy larvae (approximately 1 cm in length) were identified as the fourth-stage larvae of the moth fly, Psychoda Albipennis based on morphological characteristics. Human urogenital myiasis caused by Psychoda Albipennis is an infrequent infection disease in Iran. It seems that urinating in poor hygiene environments, sleeping without a blanket in traveling to the countryside on the banks of the Dez River, in the north of Khuzestan province, and urination in unsanitary toilets were the main risk factors of urogenital myiasis inrecent case. The use of appropriate antiseptic medication, and drinking plenty of water improved patient complaints following the two-week treatment period. The urogenital myiasis is an uncommon occurrence and comprises only 0.7% of all cases of human myiasis based on a few publication reports in Iran and the world. It`s the first report of urogenital myiasis caused by P. albipennis from Khuzestan province, South Western Iran.

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References

  1. Guven E, Kar S, Dogan N, Karaer Z.  Urogenital myiasis caused by Psychoda albipennis in a woman. Turkiye Parazitol Derg. 2008; 32: 174–176.
  2. Shrestha AB, Hoque SMS, Nawaz MH, Pokharel P, Shrestha S, Mahaseth A. Urogenital myiasis in a post-menopausal rural woman: A case report. Int J Surg Case Rep. 2023;106:108138.
  3. Demir AD, Iraz M, İpek DN. Urogenital myiasis caused by Psychoda albipennis in a child. Turk Pediatri Ars. 2015;50 (1):65-68.
  4. Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25(1):79-105.
  5. Salimi M, Goodarzi D, Karimfar M, Edalat H. Human Urogenital Myiasis Caused by Lucilia sericata (Diptera: Calliphoridae) and Wohlfahrtia magnifica (Diptera: Sarcophagidae) in Markazi Province of Iran. Iran J Arthropod- borne Dis. 2010;4(1):72–76.
  6. Rasti S, Dehghani R, Khaledi HN, Takhtfiroozeh SM, Chimehi E.  Uncommon Human Urinary Tract Myiasis Due to Psychoda Larvae, Kashan, Iran: A Case Report. Iran J Parasitol. 2016;11(3):417-421.
  7. Hazratian T, Dolatkhah A, Naghili Hokmabadi B, Hazratian E, Paksa A. First Record of Human Urogenital Myiasis Caused by Psychoda albipennis Larvae (Diptera: Psychodidae) in Miandoab, West Azerbaijan Province, Iran: A Case Report. J Arthropod Borne Dis. 2021;14(4): 425–429.
  8. Velásquez Y, Magaña C, Martínez‐Sánchez A, Rojo S. Diptera of forensic importance in the Iberian Peninsula: larval identification key. Med Vet Entomol. 2010;24(3):293–308.
  9. Jokar A, Sharififard M, Jahanifard E. Prevalence of Human Myiasis and its Epidemiological Aspects in Iran From 2013 To 2020: A Review Study. J Prevent Med.2022;9(2):102-115.
  10. Rawat R, Seth S, Rawat R, Sinha S. Vulvar myiasis: a rare case report. Int J Reprod Contracept Obstet Gynecol. 2014;3(3):857-859.
  11. Faridnia R, Soosaraei M, Kalani H, Fakhar M, Jokelainen P, Zolfaghari Emameh R, et al. Human urogenital myiasis: A systematic review of reported cases from 1975 to 2017. Eur J Obstet Gynecol. 2019;235:57-61.
  12. Salehi AM, Jenabi E, Salehi M. A Rare Case of Urogenital Myiasis in a 49-Year-Old Woman. Case Rep Med. 2022;7910176.
  13. Üntan İ, Sabur V, Kenan B. Psychoda albipennis myiasis as a rare cause of erectile dysfunction: A case report. Andrologia. 2021;53:e14087.
Archives of Razi Institute
Volume 79, Issue 5
September and October 2024
Pages 1117-1120

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