An Unusual Case of Pre-Auricular Myiasis
Journal Title: Surgery & Case Studies: Open Access Journal - Year 2018, Vol 1, Issue 2
Abstract
Background: Myiasis-the feeding of fly larvae on living mammals has various clinical presentations depending on involved tissues or organs. The most recognised causative organism Dermatobia hominis. It involves various sites, rarity in this case report is the site of involvement and in turn occurrence of an underlying malignancy. Case report: 68 year old lady, presented with an ulcer over the right side of the pre-auricular region for 1 year. On examination, it was infested with maggots larvae, which later on had a underlying squamous cell carcinoma with basal cell carcinoma. Patient underwent treatment for the same. Details of the case and the management is been presented. Conclusion: Myiasis transmitted by Human Botfly, infests all cavities mainly ENT sites, in debilitated individuals. But its occurrence in a open space of the body, and its association is a rarity and has been reported in this case. Author concludes, that all myiasis should be managed meticulously. Myiasis the feeding of fly larvae on living mammals has various clinical presentations depending on involved tissues or organs [1]. Myiasis is a common travel associated skin disorder as a consequence of short visits to developing countries [2,3]. The commonest clinical manifestations of myiasis infestation include inflammatory and allergic reactions. Ear, eye and respiratory tract infestations are also frequently encountered [2-4], and the human botfly. The most recognised causative organism Dermatobia hominis [5]. In Tropical countries like India, patient debilitation is the main causative etiology for the infection. We present an unusual case of pre-auricular myaisis of a debilitated lady who had no inciting lesion to result in a nidus to cause infection by myiasis larvae.
Authors and Affiliations
Abhinaya shivakumar, Dinesh Kumar Sathanantham
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