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Management of Wound Myiasis in the Hospice and Palliative Medicine Setting

Gavisha Waidyaratne1, Shiwei Zhou2, Thomas O'Neil3

  • 1University of Michigan Medical School, Ann Arbor, Michigan, USA.

Journal of Palliative Medicine
|October 30, 2020
PubMed

Insights

Myiasis, a rare maggot infestation, complicates complex wounds in hospice and palliative medicine (HPM). This case highlights diagnosis and management challenges for HPM patients with malignant wounds.

Area of Science:

  • Medical Mycology
  • Hospice and Palliative Medicine
  • Wound Care

Background:

  • Complex wounds are frequent in hospice and palliative medicine (HPM), particularly with advanced cancers.
  • Maggot infestation (myiasis) is a rare but serious wound complication, increasing patient vulnerability due to comorbidities.
  • Standardized diagnostic and treatment guidelines for wound myiasis are lacking, especially in HPM settings.

Observation:

  • A case of malignant squamous cell carcinoma of the neck complicated by myiasis in a hospice patient is presented.
  • The patient presented with a wound infestation requiring diagnosis and management.
  • The physical and psychological symptoms associated with wound myiasis were observed.

Findings:

  • The case details the diagnostic process for wound myiasis in an HPM patient.
  • Management strategies were adapted for the hospice setting.
  • The infestation was successfully diagnosed and managed.

Implications:

  • This case underscores the need for awareness and tailored approaches to myiasis in HPM.
  • It highlights the importance of addressing both physical and psychological aspects of wound myiasis.
  • Further research into standardized protocols for myiasis in palliative care is warranted.
Keywords:
head and neck cancermaggotsmalignant woundmyiasispalliative medicine

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