Intestinal myiasis caused by larvae of Telmatoscopus albipunctatus in a Taiwanese man

Abstract

Here we reported the first case in Taiwan of human intestinal myiasis caused by larvae of Telmatoscopus albipunctatus. The 21-year-old male patient experienced gastroenteritis and anal itching. During the patient's first hospital visit the doctor suspected Enterobius infection. After treatment with anthelmintic mebendazole, 5 live larvae were passed out in the feces. Symptoms were resolved a few days later. The larvae were brown and slender, measuring approximately 10 mm in length. The worms were located in the intestine. Subsequent examination showed that the cause was an infestation of larvae of T. albipunctatus. The patient was likely infected by ingestion of eggs or early-stage larvae in contaminated food.