PMC3875887_01
Human wound myiasis caused by Chrysomya bezziana in a girl with pharyngostomy after removing the larvae (Original photo)
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Patient underwent flexible pediatric endoscopy by a gastroenterologist on arrival, which showed severe burns of oral cavity and esophagus. She received anti-secretory agent, antibiotics, and hydrocortisone. Physicians devised a pharyngostomy tube in right side of her neck by number 32 mushroom catheter and the esophagus was closed by a prolene mesh plug which completely was filled with cyanoacrylate glue to prevent swallowing of saliva (Fig. 1).
(A) The full grown third-instar larvae of Chrysomya bezzianna, (B) posterior and anterior (C) spiracles (Original photo)
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Other morphological characters of the specimens included, open peritreme, slightly pigmented tracheal trunks, posterior margin of segment 11 with dorsal spines, anterior spiracles with 4-6 papillae, and each posterior spiracles encircled by a heavily sclerotised peritreme which is incomplete ventrally and with 3 slit-like spiracular opening at about 45 degrees to the horizontal (Fig. 2).