Massive scalp myiasis with bleeding in a patient with multiple malignancies

Area of Science:

• Oncology
• Parasitology
• Dermatology

Background:

• Myiasis, the infestation of human or animal tissue by fly larvae, is infrequently associated with malignancy.
• Squamous cell carcinoma, particularly of the head and neck, is the most commonly reported cancer linked to myiasis.
• Myiasis cases associated with cancer are typically not considered medical emergencies.

Observation:

• A rare case of massive scalp myiasis with significant bleeding is presented.
• The patient had a complex medical history including ulcerated squamous cell carcinoma of the scalp, hematological malignancies, and colorectal cancer.
• The severity of the myiasis in this case presented as an urgent concern.

Findings:

• The study details a severe presentation of myiasis in a patient with advanced, multiple malignancies.
• Standard treatment involves local disinfection and mechanical larval removal.
• The case underscores the potential for myiasis to become a critical issue in immunocompromised or debilitated cancer patients.

Implications:

• This case expands the understanding of myiasis presentation in oncology patients.
• It emphasizes the need for vigilance and prompt management of myiasis, even in non-emergency contexts.
• Further research into the specific risk factors and optimal management strategies for myiasis in cancer patients is warranted.