26/05/2020
Patient canine, mestizo, male, 1 year and a half.
Subcutaneous mass located in the left side area of the neck, approximately 3 cm in diameter and soft consistency.
Discovered about 2 months ago.
She got a lot better with drug therapy, but it got worse by suspending her.
FNA was made and 3 cc of serosanguinolent liquid were extracted, of cloudy consistency.
In cytology, multiple granulomas can be seen by foreign body, with abundant epithelioid macrophages and periphils arranged around structures in the shape of " shark teeth " or " cat nails ".
I initially made a diagnosis of Severe PIOGRANULOMATOGRANULOMATOUS INFLAMATOUS BY VEGETAL BODY, as the structures described structures were very similar to the thorns of roses, among other plants.
After sharing microscopic images with several colleagues, and with the priceless information provided by Lee, Schlicher Baker and Bau, I modified the diagnosis to:
Severe PIOGRANULOMATORY INFLAMATORY PROCESS BY MOSCA LARVE FRAGMENTS
Asking the owner about the possibility that his dog had previously had miasis, he said the dog had been bitten by another 7 months ago, and that he developed a myasis that was treated in another veterinary clinic.
If the entire larvae are not managed to remove the infested tissue, their remains generate a persistent reaction to a strange body.
MV Santiago Kujman and Silvana Claudia Pepa
While in other countries, miasis by Cuterebra spp (family Oestridae) are common, in our country we are frequently found in the summer with miasis caused by the family Calliphoridae. The larvae of this family of flies are characterized by presenting around their body rings of parallel or irregular pigmented thorns. The common species in our area are Cochliomyia hominivorax and Lucilia sericata also called Phaenicia sericata).
C. C. hominivorax is a forced parasite, well known for its ability to invasion and destruction of tissues, including bone tissue, causing deep wounds that can lead to death. Its larvae develop in fresh fabrics of domestic, wild and man animals producing severe cases of myasis. It is considered one of the most important causes of economic losses in livestock breeding in Central and South America, mainly in Argentina.
P. sericata (L. Sericata), producer of animal and human myasis, corresponds to the group of optional flies, with larvae growing in necrotic fabrics and occasionally invade healthy fabrics. By its necrobiontophagous nature prefers to feed on dead tissues ignoring healthy tissue, although certain strains have shown to have the ability to invade living tissues when the amount of necrotic material is scarce.
• Mulieri, Pablo. (2003). The distribution of the Calliphoridae in Argentina (Diptera). Argantina Entomological Society Magazine. 62. 81-106.
• Visciarelli, Elena, Costamagna, Sixto, Lucchi, Leandro, & Basabe, Norma. (2007). Human Miasis in Bahía Blanca, Argentina: Period 2000 / 2005. Neotropical Entomology, 36 (4), 605-611. https://doi.org/10.1590/S1519-566X2007000400021
• Florez, Eliana, & Wolff, Marta. (2009). Description and key of immature stadiums of the main species of Calliphoridae (Diptera) of forensic importance in Colombia. Neotropical Entomology, 38(3), 418-429. https://doi.org/10.1590/S1519-566X2009000300019
• Bau-Gaudreault, Liza & Overvelde, Sébastien & Martin, Donald. (2018). What is your diagnosis? Subcutaneous temporal mass from a cat. Veterinary Clinical Pathology. 47. 10.1111/vcp.12601.