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Skin Health and Disease Oct 2023Following a trip to Bolivia, a 32-year-old woman developed a left lower leg ulcer with a sensation of movement within the lesion. After being seen by four primary care...
Following a trip to Bolivia, a 32-year-old woman developed a left lower leg ulcer with a sensation of movement within the lesion. After being seen by four primary care providers, she was referred to dermatology 7 weeks after her return from Bolivia. At that time, she was found to have a 5 mm weeping ulcer, with a live larva visible at the base. We conducted a punch biopsy for botfly removal, after which the patient healed well. Herein we discuss the ways in which clinical presentation, history of travel, dermoscopy, and ultrasound can contribute to diagnosing botfly myiasis. While treatment of botfly infestation is not required, we discuss the importance of shared decision-making in considering treatment, as well as methods for extraction, including mechanical or surgical removal, which may help to reduce patient anxiety and the risk for secondary infection. As global travel resumes to levels prior to the Covid-19 pandemic, it is important for dermatologists to be aware of the presenting symptoms and treatment of tropical skin disorders.
PubMed: 37799363
DOI: 10.1002/ski2.253 -
Journal of Family Medicine and Primary... Aug 2023Genital myiasis is an infestation of genital organs by fly larvae, where they feed and develop as parasites. They can cause severe infection, inflammatory reaction and...
Genital myiasis is an infestation of genital organs by fly larvae, where they feed and develop as parasites. They can cause severe infection, inflammatory reaction and can be linked to psychiatric disturbances. We report a rare case of genital myiasis in an elderly postmenopausal woman aged 82 years from Udaipur, Rajasthan. She presented with complaints of intense pain in the genital region and was diagnosed as a case of genital myiasis of a prolapsed uterus. Pelvic examination revealed 'Stage-IV' genitourinary prolapse according to Pelvic Organ Prolapse-Quantification (POP-Q classification), with a big excavatory ulcer indwelled with maggots of . About 100 such maggots were subsequently manually removed with forceps. With proper surgical and nonsurgical interventions, the patient healed completely and the prolapse was reduced completely.
PubMed: 37767442
DOI: 10.4103/jfmpc.jfmpc_1830_22 -
Parasites & Vectors Sep 2023This study describes the effectiveness of a novel active pharmaceutical ingredient, fluralaner (isoxazoline class), against important ectoparasites infesting cattle in...
BACKGROUND
This study describes the effectiveness of a novel active pharmaceutical ingredient, fluralaner (isoxazoline class), against important ectoparasites infesting cattle in Brazil.
METHODS
A total of 13 studies involving a 5% fluralaner-based pour-on formulation (Exzolt 5%; further referred to as Exzolt) were conducted. Specifically, the effectiveness of this formulation was studied against Rhipicephalus microplus (6 studies), Cochliomyia hominivorax larvae (4 studies), Dermatobia hominis larvae (1 study) and Haematobia irritans flies (2 studies).
RESULTS
The therapeutic efficacy of Exzolt was found to exceed 98% at 4 days post treatment (DPT), while persistent efficacy (> 90% efficacy) against repeated infestations of R. microplus was observed for up to 79 DPT. In field studies, ≥ 98% therapeutic efficacy was demonstrated at all study sites by 7 DPT, and a persistent efficacy (> 90% efficacy) was observed for 42, 49 or 56 DPT. Exzolt prevented C. hominivorax eggs from developing to the larval stage, thus mitigating the development of myiasis in cattle naturally and artificially infested with this screworm. The efficacy of Exzolt against D. hominis larvae was 98% at 3 DPT, while persistent efficacy (> 90% effectiveness) was found to last for up to 70 DPT. Against H. irritans, Exzolt showed therapeutic efficacy (≥ 90%) within the first day of treatment at both study sites, while persistent efficacy (≥ 90%) was observed for 7 DPT at one site and for 21 DPT at the other site.
CONCLUSIONS
Overall, the results from these studies confirm that Exzolt is therapeutically efficacious against the most important ectoparasites infesting cattle in Brazil. The novel active pharmaceutical ingredient, fluralaner, provides a new treatment option for farmers to control cattle ectoparasites, especially where there is resistance to other chemical classes. In addition, an effective control of ectoparasites will improve overall cattle health and well-being as well as production.
Topics: Animals; Cattle; Brazil; Ovum; Muscidae; Larva; Cattle Diseases; Pharmaceutical Preparations; Tick Infestations
PubMed: 37752574
DOI: 10.1186/s13071-023-05934-7 -
Parasite Epidemiology and Control Nov 2023Ivermectin has emerged as a therapeutic option for various parasitic diseases, including strongyloidiasis, scabies, lice infestations, gnathostomiasis, and myiasis. This... (Review)
Review
Ivermectin has emerged as a therapeutic option for various parasitic diseases, including strongyloidiasis, scabies, lice infestations, gnathostomiasis, and myiasis. This study comprehensively reviews the evidence-based indications for ivermectin in treating parasitic diseases, considering the unique context and challenges in Peru. Fourteen studies were selected from a systematic search of scientific evidence on ivermectin in PubMed, from 2010 to July 2022. The optimal dosage of ivermectin for treating onchocerciasis, strongyloidiasis, and enterobiasis ranges from 150 to 200 μg/kg, while lymphatic filariasis requires a higher dose of 400 μg/kg (Brown et al., 2000). However, increased dosages have been associated with a higher incidence of ocular adverse events. Scientific evidence shows that ivermectin can be safely and effectively administered to children weighing less than 15 kg. Systematic reviews and meta-analyses provide strong support for the efficacy and safety of ivermectin in combating parasitic infections. Ivermectin has proven to be an effective treatment for various parasitic diseases, including intestinal parasites, ectoparasites, filariasis, and onchocerciasis. Dosages ranging from 200 μg/kg to 400 μg/kg are generally safe, with adjustments made according to the specific pathology, patient age, and weight/height. Given Peru's prevailing social and environmental conditions, the high burden of intestinal parasites and ectoparasites in the country underscores the importance of ivermectin in addressing these health challenges.
PubMed: 37731824
DOI: 10.1016/j.parepi.2023.e00320 -
Journal of Insect Science (Online) Sep 2023Ham products play a fundamental role in the Italian economy, and attention to the problems of this sector is essential. The products of this sector can be attacked by...
Evaluation of Pachycrepoideus vindemiae and Muscidifurax raptor (Hymenoptera: Pteromalidae) as biological control agents of Piophila casei (Diptera: Piophilidae) in ham production facilities.
Ham products play a fundamental role in the Italian economy, and attention to the problems of this sector is essential. The products of this sector can be attacked by parasites, which can cause direct and indirect damage. Piophila casei (L.) (Diptera: Piophilidae) a cheese and meat parasite, is currently responsible for hygiene problems in ham factories. The trophic activity of this pest on the products causes serious direct damage and it is a vector of various bacteria, including Clostridium botulinum. Another risk is human ingestion of the larvae, which are resistant to gastric juices action, potentially causing intestinal myiasis. Insecticide use of any type is not allowed in aging rooms, so biological control can represent a potential alternative. In this study, we investigate quality parameters such as successful rate of parasitism (SP), degree of parasitism (DP), sex-ratio (SR), life-span (LS), and emergence rates (ER) of 2 pupal parasitoids of Diptera: Pachycrepoideus vindemiae (Rondani) (Hymenoptera: Pteromalidae), currently the only known pupal parasitoid of P. casei, and Muscidifurax raptor (Girault and Sanders) (Hymenoptera: Pteromalidae). Our research confirmed P. vindemiae efficacy to parasitize P. casei and reported, for the first time, M. raptor as a pupal parasitoid of this Piophilidae. ER for both parasitoids were low, thus affecting the DP and SP estimations. This could be explained by the feeding behavior of the parasitoid host. The strongly female-biased SR for P. vindemiae supported previous studies. LS results in our experiment are crucial for determining the timing of release.
Topics: Animals; Humans; Female; Diptera; Hymenoptera; Biological Control Agents; Larva; Feeding Behavior
PubMed: 37721495
DOI: 10.1093/jisesa/iead067 -
Saudi Medical Journal Sep 2023Myiasis is the infestation of live vertebrates by dipterous larvae. Cutaneous myiasis is the most common form, although many organs can be infected by these larvae....
Myiasis is the infestation of live vertebrates by dipterous larvae. Cutaneous myiasis is the most common form, although many organs can be infected by these larvae. Cutaneous myiasis is divided into 3 forms: localized furuncular, migratory, and wound myiasis, which have a worldwide distribution, but tropical and subtropical countries have a heavier burden of the disease. Herein, we report a case of scalp wound myiasis in a patient with pemphigus vulgaris caused by Muscidae domestica (M. domestica) in Riyadh, Saudi Arabia. Cases of M. domestica myiasis are limited in the literature. We would like to raise awareness regarding the possibility of cutaneous myiasis in M. domestica in Riyadh, Saudi Arabia.
Topics: Animals; Humans; Houseflies; Pemphigus; Saudi Arabia; Myiasis; Patients
PubMed: 37717963
DOI: 10.15537/smj.2023.44.9.20220938 -
Cureus Jul 2023Oral myiasis, a rare condition caused by the infestation of live maggots in the oral cavity, can present unique challenges in immunocompromised individuals. This case...
Oral myiasis, a rare condition caused by the infestation of live maggots in the oral cavity, can present unique challenges in immunocompromised individuals. This case report presents a unique case of oral myiasis in an immunocompromised adult undergoing chemotherapy. A 67-year-old female suffering from metastatic carcinoma of the ovary was undergoing chemotherapy treatment at the time of presentation. Prompt diagnosis and management, including larval removal, wound care, and systemic antibiotics, were initiated. This case highlights the susceptibility of immunocompromised individuals to uncommon complications, such as oral myiasis, due to their compromised immune system. It also emphasizes the need for heightened vigilance in the oral care and monitoring of immunocompromised patients undergoing chemotherapy, as well as the importance of early intervention to prevent potential complications associated with oral myiasis. In this article, we have also included a comprehensive treatment protocol for treating this condition based on our clinical experience.
PubMed: 37637591
DOI: 10.7759/cureus.42555 -
Oxford Medical Case Reports Aug 2023Fly larvae cause myiasis. The most common of these are and . Clinically, myiasis manifests as an erythematous papule that may become ulcerated and form furuncular...
Fly larvae cause myiasis. The most common of these are and . Clinically, myiasis manifests as an erythematous papule that may become ulcerated and form furuncular lesions. In patients who have been in endemic areas, these larvae are to be suspected. Below, we present a 75-year-old male with a clinical picture of a palpable mass in the areola associated with the outflow of serohematic fluid through a central orifice. A breast intraductal lesion was suspected, so a breast ultrasound and biopsy were performed, which showed a structure compatible with myiasis. The diagnostic challenge was the high number of different diagnoses and the little knowledge of health professionals about tropical diseases.
PubMed: 37637360
DOI: 10.1093/omcr/omac143 -
Tropical Medicine and Infectious Disease Aug 2023spp. are important cosmopolitan zoonotic parasitic tapeworms that cause a disease called hydatidosis or cystic echinococcosis (CE), which has remarkable economic...
spp. are important cosmopolitan zoonotic parasitic tapeworms that cause a disease called hydatidosis or cystic echinococcosis (CE), which has remarkable economic losses. The objective of our study was to develop a specific IgG polyclonal antigen-based ELISA (Sandwich ELISA; capture ELISA) method for the detection of circulating () antigens in camels infected with hydatid cysts before slaughtering and its application in serodiagnosis of CE in animals to assess the positive rate of hydatidosis in camels slaughtered in Giza governorate abattoirs in Egypt. In this study, molecular identification of sp. isolate was performed based on the NADH dehydrogenase subunit 1 (NAD1) gene, revealing the isolate (GenBank: OQ443068.1), which is identical to the G6 genotype. The positive rate of hydatid cysts was determined in slaughtered camels' organs ( = 587). The results revealed that hydatid cysts were found in 46.5% (273/587) of the examined camels. Pulmonary echinococcosis was significantly more prevalent in the slaughtered camels (60%, 164/273) than hepatic echinococcosis (39.9%, 109/273), ( = 0.001, Chi Square = 11.081). Cyst fertility rates were higher in hepatic (90.8%, 99/109) than in pulmonary cysts (83.5%, 137/164) and the most viable protoscoleces were recorded from fertile the hepatic cysts (67.85 ± 12.78). In this study, hydatid cyst germinal layer antigen (GlAg) was isolated and used for the immunization of rabbits to raise IgG polyclonal antibodies (anti- GlAb IgG). These IgG polyclonal antibodies were purified by affinity chromatography using a protein A column, then labeled with horseradish peroxidase. Electrophoretic analysis of IgG polyclonal antibodies and crude GlAg was performed in 10% polyacrylamide gels. The SDS-PAGE revealed four bands at molecular weights of 77 kDa, 65 kDa, 55 kDa, and 25 kDa. The Sandwich ELISA was performed to evaluate the sensitivity and specificity and cross-reactivity of the prepared IgG polyclonal antibodies. The circulating hydatid antigen was found in 270 out of the 273 samples with hydatidosis, with a sensitivity of 98.9% (270/273), a specificity of 94.9% (296/312) and a diagnostic efficacy of 96.8%. Regarding the cross reactivity, anti- GlAb IgG showed a low cross-reactivity with infected camel sera (3/8), and Myiasis ( larvae; 3/20). No cross-reactivity was recorded with uninfected camel sera (negative sera for ), and no cross-reactivity was found with antigens of spp., , sp., and (ticks' infestation). Then, Sandwich ELISA was conducted again to detect antigen in all the collected camel sera, which resulted in a 48.7% (286/587) positive rate of CE compared to 46.5% (273/587) using a postmortem inspection (PM diagnosis) ( = 0.5, Chi Square = 0.302). In conclusion, the Sandwich ELISA technique introduced in this study appears to be a sufficiently sensitive diagnostic assay for the detection of camels' echinococcosis using anti- GlAb IgG. In addition, it might offer a significant medical and veterinary importance in helping the early detection of hydatidosis, as well as its early treatment.
PubMed: 37624338
DOI: 10.3390/tropicalmed8080400