(1) Myiasis (2) Post-Mortem Artifacts … Myiasis Myiasis is an infestation of a living organism by developing larvae (maggots) of a variety of fly species (Myia is Greek for fly). l May be relatively benign, cause serious health concerns, and even death. l Under some conditions, can be used to treat disease and infection. l Types of Myiasis l Cutaneous myiasis, l l l l l l wound myiasis Furuncular myiasis. Nasopharyngeal myiasis, the nose, sinuses, and pharynx are involved. Ophthalmomyiasis - eyes, orbits, and periorbital tissue Intestinal – alimentry tract Urogenital myiasis – invasion of urogenital system Parasitic and Opportunistic Species l Obligate (primary) parasites l l l l l Colonize living hosts Dermatobia hominis (human botfly) Cordylobia anthropophaga (tumbu fly) Cochliomyia homnivorax (screwworm) Facultative (secondary) parasites l l Obligate human parasites Primarily cattle but will attack humans Opportunists, usually associated with carrion or cadavers, will colonize living flesh under some conditions Some blowflies (Lucilia species, Phormia, Cochliomyia macellaria), some sarcophagids (fleshflies), some muscids (housefly relatives) Botflies and Screwworms (Domain of Medical Entomology) l Dermatobia – Central/South America l l Cordylobia – Sub-Saharan Africa l l l Capture another insect, lay their eggs on it, and when that insect (mosquito or fly) lands to feed, the eggs hatch and burrow into our skin Attracted to human feces/urine and to wet clothing where the females lay their eggs. Emerged maggots sit in the soil and wait for a disturbance, then rapidly move to the surface and burrow into the feet or legs of the person. Eggs also hatch when people wear clothing with eggs New World Screwworm (Cochliomyia) – Texas*, Mexico, Caribbean, C. and S. America, Old World Screwworm, Chrysomyia bezziana (Africa) l Females lay eggs in wounds, sores, or healthy mucous membranes Botflies l O Tumbu Flies Screwworms Secondary Myiasis and the Law l l l Myiasis of healthy individuals in temperate-zone, developed countries is rare. When it occurs, often associated with homeless indigents, substance abusers, and those with compromised immune systems. May also be associated with elderly, bedridden or incapacitated patients in long-term facilities, or infants l In these cases, myiasis can be utilized in criminal cases focusing on neglect or unsanitary conditions l Wound Myiasis l l Mostly opportunistic species usually associated with cadavers L. sericata is the most frequent species Cases involving neglect l l l The faunal composition of cadavers can reveal information about the conditions preceding death as well as those post-mortem Especially useful is the presence or absence of certain species l Muscidae - houseflies and their relatives generally associated with excrement l Fannia, Muscina, Musca, Until relatively recently, the potential utility of this information was routinely ignored by medical examiners and other crime scene investigators Foot maggots l l l Elderly woman found dead in filthy apartment (blocked toilet, rotting food) Her foot was in a plastic bag and was badly infested with large blowfly ( L. sericata) maggots but the rest of her body and face was intact with no colonization and little decomposition What might you conclude? Colonization Patterns l l l l l Elderly woman found in an urban apartment that was cluttered and untidy but not filthy Cadaver exhibited bleeding pressure ulcers (b) on the buttocks, back, and (c) chin, and chest. Eyes and face were intact Maggots of lesser house fly Fannia canicularis and stable fly Muscina stabulens, and adult larder beetles (Dermestes lardarius) were collected on and under the body. What might you conclude? Child neglect l l l l l Dead child found in an apartment. Mother was addict and street prostitute and could not recall when last at the apartment Social service agency accused of neglect Calliphora and Fannia larvae were found on the face and body – 5-7 day PMI However, Fannia larvae estimated to be 14 days old in uro-genital area Maggots for Good! l Maggots have long been recognized for their ability to clean wounds l l l l Civil War - amputations World War I – compound fractures With the advent of MRSA and other antibiotic resistant bacteria, maggot debridement therapy is gaining in popularity Lucilia sericata cultures are now commercially available for health care industry Myiasis and Medicine l Maggots secrete a potent cocktail of products that function as antibiotics as well as directly remove necrotic tissue Behold, the mighty maggot 9 Days l Fun with Orzo… Post-Mortem Artifacts l Altered appearance l Insects impart changes to the cadaver that could be interpreted as ante-mortem l l l Larval movement l l Wounding Sexual assault Maggot movement produces artifacts Adult activity l l Blood spatter versus fly specks DNA acquisition / contamination Ant feeding damage Altered Appearance l Activity by a variety of organisms including insects can alter the appearance of a cadaver. l l Can hide or remove forensically valuable evidence Can create the post-mortem illusion of antemortem trauma Vulture feeding Cockroach feeding patterns Rat feeding on fingers l Ants l Especially problematic – can significantly change rates of decomposition Can significantly alter the appearance and remove / hide forensic information Maggot Activity l l The undulating movement of maggots in masses can be sufficient to alter the position of clothing. Changes in the position of undergarments can present the illusion of a sexually motivated crime l Maggot Movement Maggot movement Maggots can track blood through their movement l Can create the illusion of ante-mortem movement by the decedent l Can mask or destroy other trace evidence l