Genital myiasis associated with genital piercing. Case report
Keywords:
Myiasis, Penile diseases, Body piercingAbstract
CONTEXT: Myiasis is caused by larval infestation that usually occurs in exposed wounds. Dermatobia hominis is the most common fly species responsible for this parasitic infection. Genital piercing is an ornamental practice used in certain social circles. At placement, it transverses the skin surface and, as such, may be related to complications. CASE REPORT: We report a case of a 31-year-old man with a history of wound infection secondary to genital piercing who was exposed to an environment with flies, leading to myiasis. Mechanical removal and systemic antiparasitic drugs are possible treatments for myiasis. However, prevention that includes wound cleaning and dressing is the best way to avoid this disease. CONCLUSIONS: Genital piercing can lead to potential complications and myiasis may occur when skin lesions are not properly treated.
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References
Nelius T, Armstrong ML, Rinard K, et al. Genital piercings: diagnostic and therapeutic implications for urologists. Urology. 2011;78(5):998-1007.
Holbrook J, Minocha J, Laumann A. Body piercing: complications and prevention of health risks. Am J Clin Dermatol. 2012;13(1):1-17.
Young C, Armstrong ML, Roberts AE, Mello I, Angel E. A triad of evidence for care of women with genital piercings. J Am Acad Nurse Pract. 2010;22(2):70-80.
Passos MR, Ferreira DC, Arze WN, et al. Penile myiasis as a differential diagnosis for genital ulcer: a case report. Braz J Infect Dis. 2008;12(2):155-7.
Tweeten SS, Rickman LS. Infectious complications of body piercing. Clin Infect Dis. 1998;26(3):735-40.
Caliendo C, Armstrong ML, Roberts AE. Self-reported characteristics of women and men with intimate body piercings. J Adv Nurs. 2005;49(5):474-84.
Tavares AJ, Barros R, Favorito LA. Urgent penectomy in a patient presenting with epidermoid carcinoma of the penis associated to myiasis. Int Braz J Urol. 2007;33(4):521-2.
Yildiz M, Basar M, Hokelek M, Basar H, Akalin Z. Scrotal myiasis. Br J Urol. 1997;80(3):493-4.
Pugatch D, Mileno M, Rich JD. Possible transmission of human immunodeficiency virus type 1 from body piercing. Clin Infect Dis. 1998;26(3):767-8.
Martinez CAR, Dalbem CAG, Romani G, et al. Míiase vulvar: relato de caso [Vulvar myiasis: a case report]. Rev Bras Ginecol Obstet. 2003;25(4):291-5.
Singla V. Oral myiasis--a case report. J Oral Maxillofac Surg. 2013;71(9):1555.e1-4.
Mayers LB, Judelson DA, Moriarty BW, Rundell KW. Prevalence of body art (body piercing and tattooing) in university undergraduates and incidence of medical complications. Mayo Clin Proc. 2002;77(1):29-34.