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  4. Myiasis in a spinal cord injury patient with indwelling catheter: A case report from Gondar, Ethiopia

Myiasis in a spinal cord injury patient with indwelling catheter: A case report from Gondar, Ethiopia

International Journal of Surgery Case Reports, 2025 · DOI: https://doi.org/10.1016/j.ijscr.2025.110934 · Published: January 23, 2025

UrologyImmunologyResearch Methodology & Design

Simple Explanation

Myiasis is a rare condition, especially in the urogenital area, with very few reported cases involving spinal cord injury patients with long-term catheter use. This case report describes a 40-year-old male with a spinal cord injury who developed urogenital myiasis, presenting with maggots visible at the urethral opening due to prolonged catheter use. The case highlights the importance of awareness and education about urogenital myiasis, especially for individuals with indwelling urogenital devices, to ensure prompt diagnosis, treatment, and reduce potential complications.

Study Duration
Not specified
Participants
A 40-year-old male with a spinal cord injury
Evidence Level
Level 4; Case Report

Key Findings

  • 1
    A 40-year-old male with a spinal cord injury developed urogenital myiasis due to long-term catheter use, presenting with maggots at the urethral meatus.
  • 2
    The patient had a history of spinal cord injury, poor hygiene, and had been using an indwelling urinary catheter for a year due to urinary retention.
  • 3
    The patient was successfully treated with mechanical removal of maggots, antibiotics (ciprofloxacin), and ivermectin, along with education on clean intermittent catheterization and hygiene.

Research Summary

This case report presents a rare instance of urogenital myiasis in a 40-year-old male with a spinal cord injury and long-term indwelling urinary catheter, a combination not frequently reported in existing literature. The patient presented with maggots visible at the urethral meatus and was treated with mechanical removal, antibiotics, and ivermectin, followed by education on clean intermittent catheterization. The report emphasizes the need for increased awareness and education among healthcare providers and at-risk individuals regarding urogenital myiasis, particularly in resource-limited settings, to facilitate timely diagnosis and management.

Practical Implications

Increased Awareness

Healthcare providers should be more aware of urogenital myiasis as a possible diagnosis in patients with extended catheter use.

Preventative Measures

Emphasis on good personal hygiene and effective fly population management is essential for preventing myiasis, especially in at-risk populations.

Urologic Follow-up

Regular urologic follow-ups are crucial for spinal cord injury patients to prevent misdiagnosis and delayed treatment of conditions like genital myiasis.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Lack of parasitological supplies prevented larvae identification
  • 3
    Study conducted in a single center

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