Department of Urology, Training and Research Hospital, Ahi Evran University, Kırşehir, Turkey.
Department of Urology, Erciyes Kartal Hospital, Kayseri, Turkey.
Andrologia. 2021 Aug;53(7):e14087. doi: 10.1111/and.14087. Epub 2021 Apr 27.
Urogenital myiasis occurring with the settlement of fly larvae of the order Diptera is facultative and is rarely encountered in humans. This study presents a case of urogenital myiasis caused by Psychoda albipennis in a 42-year-old male patient. The patient was admitted to our hospital with complaints of groin pain, pollakuria and erectile dysfunction and claimed that he saw motile larvae in his urine. Three larvae were collected from the patient's urine, microscopically examined and identified as fourth-stage larvae of P. albipennis. The patient's complaints ceased after the application of an antibiotic and urinary antiseptic. It was concluded that myiasis should be considered in patients with urogenital complaints.
泌尿生殖蝇蛆病是由双翅目蝇类幼虫定居引起的,是一种兼性疾病,在人类中很少见。本研究报告了一例由白蛉蝇引起的泌尿生殖蝇蛆病,患者为 42 岁男性。该患者因腹股沟疼痛、排尿困难和勃起功能障碍就诊,并声称在尿液中看到了活动的幼虫。从患者尿液中收集了 3 条幼虫,经显微镜检查鉴定为白蛉蝇的第四期幼虫。患者在使用抗生素和尿路抗菌药物后症状消失。结论:对于有泌尿生殖系统症状的患者,应考虑到蝇蛆病的可能。