Review on forensic importance of myiasis: Focus on medicolegal issues on post-mortem interval estimation and neglect evaluation

Myiasis is the infestation of live vertebrates by dipterous larvae that feed on living or necrotic tissues, liquid body substances or ingested food and develop in or on the vertebrate body. In both animals and humans, myiasis plays a fundamental role in forensic practice because of its implications in the evaluation of cases of neglect and in the mPMI (minimum post-mortem interval) estimation. The present study aims to provide a review of forensic issues related to myiasis. A retrospective analysis was conducted by exploring major electronic literature databases. Methodological evaluation of each study was performed according to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) standards. Sixty-one papers were included in this review. Entomology shows great potentiality in forensic investigations, mostly because of its contributory role in mPMI estimation. Such evaluation, however, requires a careful consideration of the possibility of an ante-mortem myiasis infestation, which could complicate the correct assessment of the mPMI. Hence, forensic pathologists should pay attention to the entomological fauna on a corpse, in both fresh and decomposed bodies. Moreover, in cases with poor nutritional or hygienic conditions, myiasis should be carefully evaluated as an indicator of neglect.