ArticleCureus2025
An Unusual Case of Genital Myiasis in Nicaragua: A Multidisciplinary Approach in a Patient With Stage IV Pelvic Organ Prolapse.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Myiasis, a parasitic infestation caused by fly larvae in necrotic tissue, is rare in urban settings but can complicate conditions like advanced pelvic organ prolapse (POP). This report highlights the diagnostic and therapeutic challenges of myiasis in a patient with grade IV POP. An 85-year-old postmenopausal woman presented with a four-year history of vaginal mass protrusion, recent bleeding, foul discharge, and necrotic tissue. Examination revealed grade IV POP with left-sided necrotic tissue (4 × 4 cm) infested with larvae. Laboratory findings showed leukocytosis (17.57 × 10³/µL), elevated CRP (28.03 mg/dL), and a hemoglobin level of 14 g/dL. Management included surgical debridement, saline/chlorhexidine lavage, ivermectin, and broad-spectrum antibiotics (ceftriaxone/clindamycin), later adjusted to cefepime after cultures grew
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