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Cutaneous Myiasis Around Gastrostomy (PEG) Tube Insertion Site: The Second Case Report
Mohammed N Bani Hani1, Abdel Rahman Al Manasra1, Hamzeh Daradkah1
1Department of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Clinical Medicine Insights. Case Reports
|October 4, 2019
Summary
This study details a rare case of cutaneous myiasis (maggot infestation) around a percutaneous endoscopic gastrostomy (PEG) tube. Conservative treatment using petroleum-based and sterilizing agents proved effective for this unusual presentation.
Area of Science:
- Medical Entomology
- Dermatology
- Infectious Diseases
Background:
- Myiasis is defined as infestation of live humans by dipteran larvae (maggots).
- Cutaneous myiasis, the most common form, presents as furuncular, creeping, or wound myiasis.
- Percutaneous endoscopic gastrostomy (PEG) tubes are used for nutritional support.
Observation:
- A rare case of cutaneous myiasis occurred around a PEG tube site in a 71-year-old female patient.
- Live maggots were observed emerging from the skin surrounding the gastrostomy tube insertion site.
- The patient had a PEG tube in place for 8 months prior to presentation.
Findings:
- The case involved PEG tube-associated cutaneous myiasis, an extremely rare condition.
- Conservative management, including daily dressing without debridement or systemic agents, was employed.
- Petroleum-based and sterilizing agents were utilized in the conservative treatment approach.
Implications:
- PEG tube-associated myiasis is an exceptionally rare clinical entity.
- Conservative management using specific topical agents can effectively resolve PEG tube cutaneous myiasis.
- This case highlights the importance of vigilance for unusual infestations in patients with medical devices.
