Reporte de series de casos de miasis genitourinaria en México
DOI:
https://doi.org/10.48193/p089m679Palabras clave:
Miasis, Enfermedades Genitales, infecciones del tracto urinarioResumen
Introducción: la miasis es causada por larvas de moscas que infestan tejidos vivos o muertos de vertebrados. La miasis genitourinaria, rara y poco estudiada, afecta los genitales y se presenta en dos formas: externa, afectando principalmente a mujeres, y rara vez en hombres; e interna, una pseudomiasis que afecta la vejiga, uretra o útero.
Casos: se hace la presentación de una serie de casos: paciente masculino de 74 años con comorbilidades presentó miasis en el sitio de cistostomía. Paciente masculino de 52 años con antecedentes de hipertensión y ERC presentó miasis urinaria interna, asociada a sepsis urinaria y un paciente masculino de 34 años con gangrena de Fournier y miasis genitourinaria externa.
Relevancia: los casos resaltan la importancia crítica del manejo oportuno en pacientes con miasis genitourinaria. Aunque rara, representa un riesgo para la vida y requieren un enfoque terapéutico agresivo e intervención quirúrgica oportuna para garantizar la recuperación del paciente.
Conclusiones: el tratamiento común incluye el uso de sustancias que inducen hipoxia para facilitar la extracción. En casos de sobreinfección, se requiere antibioticoterapia e intervención quirúrgica. La ivermectina, ha demostrado ser efectiva. La higiene adecuada y el monitoreo regular de dispositivos médicos son esenciales para prevenir recurrencias.
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