New safe haven for maggots: a report of penile wound myiasis

Correspondence to Dr Vikas Kumar Panwar; vikaspanwar.dr@gmail.com Description Myiasis refers to the parasitic infestation of the live or dead human tissue by the larva of various fly species (maggots).1 The dipterous flies, most commonly Dermatobia hominis, Cordylobia anthropophaga and Chrysomya bezziana are attracted to necrotic, purulent or sanguineous lesions and lay eggs there.1 Lack of personal hygiene, inebriation, poor socioeconomic status, tropical climate and open wounds are the most common risk factors.2 Although urinary myiasis is well documented in literature, genital and especially penile myiasis is rare with only a few cases reported thus far.3 4 Some striking associations of penile myiasis include penile carcinoma and after male circumcision. Treatment in these situations includes mechanical removal of all larvae, copious irrigation, debridement of all necrotic tissue and intravenous antibiotics,.1 3 Rarely, larger lesions which require extensive debridement may need a graft/flap cover depending on the size of the raw area. [...]a seemingly naïve larva can wreak havoc especially when aided by risk factors such as warm climate, poor hygiene and filthy areas which attract flies. First report of human myiasis in GoiáS state, Brazil: frequency of different types of myiasis, their various etiological agents, and associated factors.