FIRST REPORT OF CEREBRAL MYIASIS DUE TO COCHLIOMYIA HOMINIVORAX IN PERU: A CASE REPORT AND LITERATURE REVIEW

Vergara-de la Rosa E.; Roldan-Rodriguez J.; Lau-Torres V.; Galvez-Olortegui T.; Burgueño-Montañes C.; Galvez-Olortegui J. · Revista de la Facultad de Medicina Humana (2026) · DOI: 10.25176/rfmh.v26i3.8433

Resumen

Cerebral myiasis (CM) is a rare form of infestation of the central nervous system by dipteran larvae and is frequently associated with high mortality. It has been described following cranial surgery or trauma and, rarely, in the setting of head and neck neoplasms. We present the first Peruvian case of transnasal CM caused by Cochliomyia hominivorax in a 40-year-old man with a history of surgical treatment for nasal chondrosarcoma. The patient presented with skull base erosion and pneumocephalus. Endoscopic removal of 70 larvae from the nasal cavity and brain was performed. In addition, we conducted a literature review of CM, from which 14 articles were ultimately selected. We examined the epidemiological findings and compared them with the characteristics of our patient, who had a favorable clinical outcome. Finally, we emphasize the importance of entomological surveillance, early diagnosis, and reporting systems as public health measures in response to this obligate myiasis, which affects both rural communities and visitors to endemic areas. © Artículo publicado por la Revista de la Facultad de Medicina Humana de la Universidad Ricardo Palma. Es un artículo de acceso abierto, distribuido bajo los términos de la Licencia Creative Commons: Creative Commons Attribution 4.0 International, CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada. Para uso comercial, por favor póngase en contacto con revista.medicina@urp.pe.

Instituciones: Universidad Nacional de Trujillo; Universidad Privada Antenor Orrego