Intensive cutaneous myiasis due to Musca domestica in a patient with Alzheimer disease: a rare larval infestation in a temperate zone

Intensive cutaneous myiasis due to Musca domestica in a patient with Alzheimer disease: a rare... Parasitism due to fly larvae is called myiasis. Some of these larvae, such as those of Wohlfahrtia magnifica, are obligate parasites because they can only grow on living tissues, whereas others are facultative parasites because the larvae live in decaying organic matter and infest living beings accidentally. One such example is the common housefly, Musca domestica, which is found worldwide, and usually lays its eggs on refuse and faeces. In human beings, infestation with M. domestica larvae can affect different body parts, including the eyes, skin, mouth and ears. We describe extensive cutaneous myiasis due to M. domestica.An 89‐year‐old woman was admitted to the emergency at the Hospital of Fréjus (southeast France) in July for severe deterioration of general status and pain in her back and sacrum. The patient had advanced Alzheimer‐type dementia with associated malnutrition. Although she was functioning very poorly, she lacked any help at home. On arrival at the hospital, the patient was found to have extremely poor personal hygiene.On physical examination, skin lesions related to pressure and maceration were discovered on the patient's back and sacrum, which were infested with maggots of undetermined species (Fig. ). Medical examination performed in the geriatric medicine department identified http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical & Experimental Dermatology Wiley

Intensive cutaneous myiasis due to Musca domestica in a patient with Alzheimer disease: a rare larval infestation in a temperate zone

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 British Association of Dermatologists
ISSN
0307-6938
eISSN
1365-2230
D.O.I.
10.1111/ced.13291
Publisher site
See Article on Publisher Site

Abstract

Parasitism due to fly larvae is called myiasis. Some of these larvae, such as those of Wohlfahrtia magnifica, are obligate parasites because they can only grow on living tissues, whereas others are facultative parasites because the larvae live in decaying organic matter and infest living beings accidentally. One such example is the common housefly, Musca domestica, which is found worldwide, and usually lays its eggs on refuse and faeces. In human beings, infestation with M. domestica larvae can affect different body parts, including the eyes, skin, mouth and ears. We describe extensive cutaneous myiasis due to M. domestica.An 89‐year‐old woman was admitted to the emergency at the Hospital of Fréjus (southeast France) in July for severe deterioration of general status and pain in her back and sacrum. The patient had advanced Alzheimer‐type dementia with associated malnutrition. Although she was functioning very poorly, she lacked any help at home. On arrival at the hospital, the patient was found to have extremely poor personal hygiene.On physical examination, skin lesions related to pressure and maceration were discovered on the patient's back and sacrum, which were infested with maggots of undetermined species (Fig. ). Medical examination performed in the geriatric medicine department identified

Journal

Clinical & Experimental DermatologyWiley

Published: Jan 1, 2018

References

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