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Lecture 14
Myiasis Defined
The invasion of organs and tissues of humans
or other vertebrate animals with dipterous
larvae, which for at least a period feed upon the
living or dead tissue or, in the case of intestinal
myiasis, on the hosts ingested food.
Types of Myiasis
Accidental or Pseudomyiasis
Insects in the family Muscidae
Larval stage is the problem stage
Enteric, accidental, rectal, and urinary
Facultative
Maggot therapy
Maggots free-living, attack carcasses, may attack living
host.
Obligatory
Maggots live on a live host for part of their life.
Life-Cycle
Eggs Larvae Pupae Adult
Females lay 100-300 eggs. (1-3 days)
Larvae attach to host or washed clothing placed on
ground.
1st instar
2nd instar
3rd instar (11-15 mm)
8-12 days larvae wriggle out of boil to ground.
Larvae bury themselves and then pupate
Adults emerge (feed on rotting fruit, carrion, and feces).
Medical Importance
Life Cycle
Eggs Larvae Pupae Adult
10-400 eggs on wounds, scabs, sores, etc.
3rd instar is formed in 2-3 days and is maggot-shaped.
Mature larvae wriggle out after 4-12 days, drop to
ground.
Pupate in soil
Adults emerge after 7-12 days.
Medical Importance
Often results in considerable damage and disfigurement,
esp. if face is attacked.
When invade nose, mouth, eyes they can cause severe
pain.
Larvae may eat their way through the palate.
Putrid-smelling discharges and ulcerations.
Treatment should be immediate!
Irrigate infested areas with ethanol + Veggie oil
Some forms of myiasis may require surgery.
Life Cycle
Medical Importance
Facultative myiasis.
Dirty habit
Larvae feed mainly on pus, not much damage.
Occasionally intestinal myiasis is reported.
Removal is easy.
Rarely invade healthy tissue.
Maggot Therapy
Sarcophagidae: Flesh-Flies
Sarcophaga spp.
Life Cycle
Larvae are scavengers
Development is rapid (3-4 days)
Pupate in soil (7-12 days)
Adults emerge and go to carrion to feed.
Medical Importance
Facultative myiasis
Cause little to no damage as they feed on necrotic
tissue.
Accidental intestinal myiasis.
Most enteric myiasis are Sarcophagidae or Muscidae.
Life Cycle
1st instar (4-11 days)
Drop into host skin
2nd instar- bottle w/neck
(pear).
3rd instar oval w/spines.
Pupate in soil
Adults emerge (4-11 wks)
Medical Importance