Wound Myiasis Caused by Cochliomyia hominivorax

Konkol, Keith A.; Longfield, Robert N.; Powers, Nelson R.; Mehr, Zia A.

doi:10.1093/clinids/14.1.366

Cited by 12 publications

(12 citation statements)

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“…15 Reports also exist of an infection involving a parietal scalp wound as well as in a shoulder wound. 14,16 Presumably, myiasis occurred in this case via the small infected wound adjacent to the posterior pin. Although the type of maggot, facultative or obligatory, involved in this case is unclear, the extent of involvement suggests an invasive characteristic.…”

Section: Discussionmentioning

confidence: 89%

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Pin-site myiasis: a rare complication of halo orthosis

Park

et al. 2005

Spinal Cord

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Study design: Case report. Objective: To report a rare complication following halo placement for cervical fracture. Setting: United States University Teaching Hospital. Case report: A 39-year-old woman who sustained a spinal cord injury from a C6-7 fracture underwent halo placement. She subsequently developed an infection adjacent to the right posterior pin, which then became infected with Diptera larvae (maggots), necessitating removal of the pin and debridement of the wound site. Conclusion: Halo orthosis continues to be an effective means of immobilizing the cervical spine. Incidence of complications ranges from 6.4 to 36.0% of cases. Commonly reported complications include pin-site infection, pin penetration, pin loosening, pressure sores, nerve injury, bleeding, and head ring migration. Pin-site myiasis is rare, with no known reports found in the literature. Poor pin-site care by the patient and her failure to keep follow-up appointments after development of the initial infection likely contributed to the development of this complication.Spinal Cord (2005) 43, 684-686.

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Section: Discussionmentioning

confidence: 89%

“…Myiasis describes the condition in which a human or other mammal is infected by Diptera larvae (maggots). 14 To our knowledge, this rare complication of halo orthosis has not been previously reported.…”

Section: Introductionmentioning

confidence: 81%

Pin-site myiasis: a rare complication of halo orthosis

Park

et al. 2005

Spinal Cord

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“…We present an unusual case of pin site myiasis, the condition in which a human being or other mammal is infected by Diptera larvae (maggots) [7]. To our knowledge, this rare complication of external skeletal fixation of the tibia has not been reported previously.…”

mentioning

confidence: 89%

Pin-Site Myiasis: A Rare Complication of a Treated Open Fracture of Tibia

Paris

Viscarret

Uban

et al. 2008

Surgical Infections

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There have been no previous reports of myiasis involving an external skeletal fixation and pin, and only one similar case has been reported in a patient with a halo orthosis for the management of a gunshot wound of the neck. As in that case, presumably, in our patient, myiasis occurred via the small infected wound adjacent to the distal pin. Adequate treatment for myiasis requires complete removal of the maggots, as well as antimicrobial therapy.

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“…Within 24 hours of hatching, the larvae begin feeding and cause extensive tissue destruction, pain, and even death. The larvae possess powerful oral hooks and can invade cartilage and bone ( 5 ). After feeding for 4 to 8 days, the larva leaves the wound to pupate in the soil ( 6 , 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…No effective antimicrobial therapy is available, although doramectin and ivermectin have been investigated for prophylactic use in cattle. Treatment involves removal of the larvae (reviewed in [ 5 ] and [ 6 ]). Irrigation with either chloroform or ether is advocated.…”

Section: Discussionmentioning

confidence: 99%