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Myiasis (maggots) around nephrostomy tube.
Prashant Motiram Mulawkar1, Sumit Gopal Agrawal1, Utpala Prashant Mulawkar2
1Department of Urology, Tirthankar Superspeciality Hospital, Akola, Maharashtra, India.
Urology Annals
|November 11, 2021
Summary
This case report details a rare instance of myiasis (fly larvae infestation) occurring around a nephrostomy tube in a rural patient with poor wound hygiene. Prompt treatment with topical agents and ivermectin successfully removed the maggots.
Area of Science:
- Urology
- Medical Entomology
- Infectious Diseases
Background:
- Myiasis, an infestation by dipterous larvae, is uncommon in urological practice.
- It is typically linked to inadequate hygiene conditions.
- This report focuses on a rare case encountered in a urological setting.
Observation:
- A 55-year-old male farmer presented with a nephrostomy tube post-percutaneous nephrolithotomy.
- He developed severe pain and pruritus around the tube due to poor wound hygiene.
- Examination revealed dipterous larvae (maggots) infestation in the wound area.
Findings:
- The patient was diagnosed with myiasis localized around the nephrostomy tube.
- Treatment involved local instillation of turpentine oil and both oral and topical ivermectin.
- Manual removal of maggots was performed following the initial treatment.
Implications:
- This case highlights the importance of vigilant wound care, especially in patients with indwelling devices in rural settings.
- It underscores the need for urologists to be aware of myiasis as a potential complication.
- Effective management strategies include parasiticides and mechanical removal.
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