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Sir, The millipede Brachyiulus lusitanus is a free-living diplopod reported here to be the cause of an apparent case of pseudoparasitism of the alimentary canal of a 5-year-old child. The boy is believed to have expelled approximately 150 to 200 millipedes, the majority alive, over a period of three to four months without signs of clinical illness or major pathology as determined by colonoscopy. His parents’ concerns had previously been rejected as delusions by some physicians. Millipedes were frequently encountered in the family’s surroundings. However, the route by which they gained access to the boy’s alimentary canal and their survival for some time therein remains enigmatic.

Apparent pseudoparasitism of the alimentary canal of a 5-year-old child by the millipedeBrachyiulus lusitanus(Diplopoda: Julidae)