Neglected Myiasis Wound Presenting With Septic Shock: A Case Report

Area of Science:

• Tropical medicine
• Parasitology
• Wound management

Background:

• Myiasis is a parasitic infestation caused by fly larvae, prevalent in tropical and subtropical areas.
• Poor wound hygiene and exposed wounds increase the risk of secondary bacterial infections in myiasis cases.
• Neglected myiasis can lead to severe complications, including sepsis.

Purpose of the Study:

• To report a case of neglected myiasis with septic shock.
• To describe the management and outcome of a severe myiasis wound.
• To emphasize the importance of timely wound care in preventing life-threatening complications.

Main Methods:

• Case report of a laborer from rural Nepal with a neglected myiasis wound.
• Management included intravenous fluids, antibiotics, meticulous wound debridement and care.
• Delayed skin grafting was performed after infection control.

Main Results:

• The patient presented with septic shock secondary to the myiasis wound.
• Successful management led to the resolution of sepsis and infection.
• Complete functional recovery was achieved following wound closure with skin grafting.

Conclusions:

• Neglected myiasis wounds pose a significant risk of severe systemic complications like septic shock.
• Prompt and comprehensive management, including antibiotics, wound care, and reconstructive surgery, is crucial for favorable outcomes.
• This case underscores the importance of public health awareness and access to adequate wound care in endemic regions.