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Umbilical Myiasis in an Adult With Down Syndrome
Jun Sen Chuah1, Chee Cheng Yoong1
1Department of General Surgery, Hospital Pakar Sultanah Fatimah, Ministry of Health Malaysia, Muar, Malaysia.
ANZ Journal of Surgery
|August 19, 2025
Summary
Maggots can infest the umbilicus, causing significant destruction, redness, and swelling. This case highlights the importance of recognizing and treating umbilical myiasis in clinical settings.
Area of Science:
- Medical Entomology
- Clinical Medicine
- Dermatology
Background:
- Umbilical myiasis, while rare, can occur in neonates and infants.
- Infestation of the umbilicus by fly larvae can lead to severe local tissue damage.
Observation:
- A case presented with significant destruction of the umbilicus.
- Erythema and induration were noted surrounding the affected umbilical area.
- Direct visualization confirmed a visible maggot infestation within the umbilicus.
Findings:
- The primary finding was severe umbilical destruction due to maggot infestation.
- Clinical signs included localized inflammation (erythema) and tissue hardening (induration).
- The presence of live maggots confirmed the diagnosis of myiasis.
Implications:
- Prompt diagnosis and intervention are crucial to prevent complications of umbilical myiasis.
- This case underscores the need for awareness among healthcare providers regarding parasitic infestations in pediatric populations.
- Effective management may involve larval removal and wound care to promote healing.
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