Urogenital Myiasis in a Child: A Rare Parasitic Infestation Successfully Treated with Conservative Management in a Tropical Setting

Urogenital myiasis is a rare parasitic infestation caused by fly larvae in the urinary or genital tract, commonly occurring in tropical and subtropical regions. Here, we report a case of an 8-year-old girl who presented with the passage of worms in her urine and mild lower abdominal pain after visiting a Dharmasala during a religious festival in Puri, India. Initial examination and investigations, including ultrasound and blood tests, were largely unremarkable except for mild eosinophilia. Urogenital myiasis was suspected, and treatment with ivermectin, alongside bladder irrigation with saline and betadine, was initiated. The patient passed dead larvae, confirming the diagnosis. Post-treatment, her symptoms resolved completely, with no further evidence of infestation. This case highlights the importance of considering urogenital myiasis as a differential diagnosis in children presenting with similar symptoms, particularly in regions with poor sanitation. Conservative management proved effective, avoiding the need for surgical intervention.