# Urinary myiasis; a case report and literature review

## TL;DR

A rare case of urinary myiasis, caused by fly larvae in the urinary tract, was diagnosed and treated in a 52-year-old woman.

## Contribution

This case report highlights the importance of recognizing urinary myiasis in patients with persistent urinary symptoms.

## Key findings

- A live larva was identified in urine analysis, confirming the diagnosis of urinary myiasis.
- Improved hygiene and hydration were effective in treating the condition.
- The case underscores the need for awareness of this rare condition in patients with urinary tract abnormalities.

## Abstract

Urinary myiasis, a rare condition caused by the infestation of fly larvae in the urinary tract, poses diagnostic challenges due to its nonspecific symptoms and low prevalence. We report a 52-year-old woman with persistent dysuria, frequency despite multiple treatments for suspected infections. Cystoscopy revealed erythema and debris, but imaging and laboratory tests were unremarkable. A live larva was identified in urine analysis, confirming the diagnosis. Treatment involved improved hygiene and hydration. Prompt recognition and management is needed to prevent complications. Awareness of this rare condition is crucial, particularly in individuals with poor sanitation and underlying urinary tract abnormalities.