Vol. 4, Issue 3, Part E (2018)

Abstract
Background: Myiasis is the infestation by dipterous larvae or eggs, laid on either living or necrotic tissues. It is the most important insect disease. It can affect various sites such as skin, nasal cavities, ears, gastrointestinal or genitourinary tract. Vulva accounts for only 0.7 % of all human infestations. Here we report a case of vulvar myiasis. Case Presentation: A 40 years old female was admitted to our hospital in a semi-conscious state. Due to her neurological state, history could not be elicited. Her vitals were unremarkable. During her general medical examination, she was found to have poor hygiene and a few larvae were seen creeping out of the vagina. Further local examination revealed swollen and erythematous labia majora and minora. She was further evaluated and a provisional diagnosis of altered sensorium with Uraemic/septic encephalopathy with Vulvar myiasis was made. The patient's management was antisepsis, larval removal and general care. Conclusion: Myiasis is a disease of poor hygiene. This case report demonstrates that poor hygiene, ignorance of sexual health and the social stigma makes women prone to these rare infestations. Hence, it is our duty to educate patients about the same.