Miasis entérica por Hermetia illucens (Diptera: Stratiomyidae) en una paciente geriátrica de Costa Rica

Abstract

We report a case of enteric myiasis by Hermetia illucens (Diptera: Stratiomyidae) in a 71 year old woman. The patient showed history of ischemic hearth disease and hypertension. She also suffered colelitiasis and diverticulitis with high eosinophilia and recently there was diagnosed an abdominal carcinomatosis process. The eosinophil levels were between 9 to 31% in different analysis. Considering the presence of Ascaris lumbricoides eggs in a fecal sample, she was treated with mebendazole. After the treatment, two larvae compatible with H. illucens (Diptera: Stratiomyidae) were defecated. This is the first report of an enteric myiasis by H. illucens in Costa Rica.