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Case report| Volume 65, ISSUE 8, P1116-1118, August 2012

Eating out of the hand, maggots – Friend or foe?

Published:February 29, 2012DOI:https://doi.org/10.1016/j.bjps.2012.01.014

      Summary

      The presence of maggots (fly larvae) in an open wound is a repelling sight to many and documented cases of myiasis in the literature are scant due to the rarity of such infestation in live patients. A unique case of such a presentation is elaborated in a patient who sustained a crush injury to the hand. This case serves to highlight the unique challenges faced in treating such injuries and to raise the profile of maggots and their untapped potential use in biodebridement and management of open wounds in modern day wound care practices.

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      References

        • Baer W.S.
        The treatment of chronic osteomyelitis with the maggot (larva of the blow fly).
        J Bone Joint Surg. 1931; 13: 438-475
        • Turkmen A.
        • Graham K.
        • McGrouther D.A.
        Therapeutic applications of the larvae for wound debridement.
        JPRAS. 2010; 63: 184-188
        • Ockenhouse C.F.
        • Samlaska C.P.
        • Benson P.M.
        • et al.
        Cutaneous myiasis caused by the African tumbu fly.
        Arch Dermatol. 1990 Feb; 126: 199-202
        • Brin Y.S.
        • Mumcuoglu K.Y.
        • Massarwe S.
        • Wigelman M.
        • Gross E.
        • Nyska M.
        Chronic foot ulcer management using maggot debridement and topical negative pressure therapy.
        J Wound Care. 2007; 16: 111-113
        • Mumcuoglu K.Y.
        • Miller J.
        • Mumcuoglu M.
        • Friger M.
        • Tarshis M.
        Destruction of bacteria in the digestive tract of the maggot of Lucilia sericata (Diptera: Calliphoridae).
        J Med Entomol. 2001; 38: 161-166
        • Livingston S.K.
        The therapeutic active principle of maggots.
        J Bone Joint Surg. 1936; 18: 751-756
        • Dumville J.C.
        • Worthy G.
        • Bland J.M.
        • et al.
        Larval therapy for leg ulcers (VenUS II): randomised controlled trial.
        BMJ. 2009; 338: b773