The Case of Severe Wound Myiasis Caused by a Minor Injury Sustained by a Spectator During a Tip-Cat-Sport

Wound myiasis commonly occurs in tropical regions and is caused by flies laying eggs on open wounds. It is essential to raise awareness about preventive measures and treatment methods for this disease, especially because many people now visit endemic areas from non-endemic regions. This report presents a wound myiasis case caused by Chrysomya bezziana, resulting from a small wound sustained by a spectator of "Tip-Cat-sport." A 64-year-old woman was admitted to a hospital in Bangladesh with a severe facial wound infection and symptoms of fever, pain, and swelling. She sustained an injury from the tip-cat tool while watching the sport, and the wound remained untreated. Magnetic resonance imaging was used to diagnose the infection as wound myiasis caused by Chrysomya bezziana. Turpentine oil was applied to the open wound to create an oxygen-deficient environment that forces maggots (larval stage of the fly) on its surface to be removed. After removal, wound debridement was performed, followed by surgical excision of the affected tissue and skin grafting. After 2 months, the wound completely healed. We hope this case report will enhance the knowledge about wound myiasis, including preventive measures and treatment options, among those with limited awareness of this condition.