DOI: https://dx.doi.org/10.18203/2349-3933.ijam20221099
Published: 2022-04-25

A case on novel treatment protocol for difficult to treat foot myiasis

Mayur Dabhade

Abstract


Foot myiasis is a rare condition, with only a few reported cases and no treatment consensus. We proposed a conservative and unique treatment approach with VAC dressing method. The patient administered in the hospital with presentation of deep tissue injury from a sharp stone, from 3 months back which was maggot infested.  The patient had approached local physicians before been admitted in our facility. The wound was severe with maggot infestation. The patient was non diabetic with no other comorbid conditions. We had the aim of infection free wound with faster rate of healing, which was fulfilled by the novel treatment protocol using vacuum-assisted closure (VAC®) dressing method. Culture sensitivity tests ruled out infection and maggot infestation. The wound was closed surgically after healthy uninfected granulation tissue confirmed with culture sensitivity report. No recurrence of maggot or any other infection were found.  The protocol performed was safe and effective in critical case of myiasis.


Keywords


Foot myiasis, VAC® dressing method, Maggot infestation, Wound healing

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References


Franza R, Leo L, Minerva T, Sanapo F. Myiasis of the tracheostomy wound: Case report. Acta Otorhinolarngol Ital. 2006;26(4):222-4.

Caumes E, Carrière J, Guermonprez G, Bricaire F, Danis M, Gentilini M. Dermatoses associated with travel to tropical countries: a prospective study of the diagnosis and management of 269 patients presenting to a tropical disease unit. Clin Infect Dis. 1995;20:542-8.

Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25:79-105.

Romano C, Albanese G, Gianni C. Emerging imported parasitoses in Italy. Eur J Dermatol. 2004;14:58-60.

Arora S, Sharma JK, Pippal SK. Clinical etiology of myiasis in ENT: A retrograde period-interval study. Braz J Otorhinolaryngol. 2009;75(3):356-61.

Uriarte FJ, Eii SR. Doctor, there are maggots in my nose. J R Soc Med. 1997;90(11):634-5.

Singh K, Prepageran N, Mohd Nor K. Nasal cavity myiasis presenting with preseptal cellulitis. Acta Otolaryngol Case Rep. 2017;2:26-8.

Service M. Flies and myiasis. In: Medical Entomology for Students. 4th ed. Cambridge: Cambridge University Press. 2008;152-63.

Jiang C. A collective analysis on 54 cases of human myiasis in China from 1995-2001. Chin Med J (Engl). 2002;115:1445-7.

Ranga KR, Yadav SP, Goyal A, Agrwal A. Endoscopic management of nasal myiasis: A 10 years experiences. Clin Rhinol Int J. 2014;2:31-3.

Cozza V. Vacuum-assisted closure (VAC®) systems and microbiological isolation of infected wounds. World J Emerg Surg. 2018;13(53):1-5.