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Canthariasis is a human disease caused by infestation of beetle larvae. We report here an unusual cause of urogenital in­fection due to Tenebrio molitor in a 10-year-old boy suffering from severe and intermittent suprapubic pain from Nehban­dan City, Northeastern Iran in 2018. After 9 months, three larvae were excreted. Keratinization of bladder wall was ob­served in histopathology. All laboratory evaluations were normal except for presence of microscopic hematuria. This re­port implicated that T. molitor could infest bladder accidentally and cause canthariasis and clinical symptoms that may lead to severe pain and bladder inflammation and hyperemia.