{"title":"Myiasis in a spinal cord injury patient with indwelling catheter: A case report from Gondar, Ethiopia","authors":"Kinfemicheal Tilahu Yigzaw , Eyob Ayenew Engidaw , Bethlehem Aliye Asfaw , Yosef Awoke Wondemeneh , Melkamu Temesgen Moges , Gashaw Messele Getahun","doi":"10.1016/j.ijscr.2025.110934","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction and Importance</h3><div>Myiasis is an overlooked public health issue, with urogenital myiasis (UGM) being particularly rare, as evidenced by only 59 reported cases worldwide from 1975 to 2017. There is a notable scarcity of cases involving patients with prolonged catheter use related to SCI. The interaction of SCI with the complications associated with indwelling urinary devices is less frequently discussed in prior literature. Up to our best, it is the first case to be reported.</div></div><div><h3>Case presentation</h3><div>We report a case of a 40-year-old male with a spinal cord injury who developed UGM. He presented with multiple white maggots visible at the urethral meatus. He was on a long-term catheter due to urinary retention. There were moving maggots, which were manually removed.</div></div><div><h3>Clinical discussion</h3><div>This case underscores the risk of UGM in patients with urinary catheters, especially in underdeveloped areas where healthcare access may be restricted.</div></div><div><h3>Conclusion</h3><div>There is a critical need for education on UGM for at-risk groups, particularly those with indwelling urogenital devices, to ensure timely diagnosis and treatment and reduce the risk of complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110934"},"PeriodicalIF":0.6000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2210261225001208","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
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Abstract
Introduction and Importance
Myiasis is an overlooked public health issue, with urogenital myiasis (UGM) being particularly rare, as evidenced by only 59 reported cases worldwide from 1975 to 2017. There is a notable scarcity of cases involving patients with prolonged catheter use related to SCI. The interaction of SCI with the complications associated with indwelling urinary devices is less frequently discussed in prior literature. Up to our best, it is the first case to be reported.
Case presentation
We report a case of a 40-year-old male with a spinal cord injury who developed UGM. He presented with multiple white maggots visible at the urethral meatus. He was on a long-term catheter due to urinary retention. There were moving maggots, which were manually removed.
Clinical discussion
This case underscores the risk of UGM in patients with urinary catheters, especially in underdeveloped areas where healthcare access may be restricted.
Conclusion
There is a critical need for education on UGM for at-risk groups, particularly those with indwelling urogenital devices, to ensure timely diagnosis and treatment and reduce the risk of complications.