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#1
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06-02-2013, 05:10 PM
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 ♚ Legacy Gold Member ♚ Poster Rank:34 Female Join Date: Nov 2008 Posts: 43,403
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Scalp Wound Myiasis (Maggot Infestation)
Myiasis - the infestation of living vertebrates by the larvae (maggots) of dipterous (2-winged) flies. After being treated and discharged for wounds to the head and left arm, a 67 year old white male returned to the emergency room 5 days after prior discharge. His complaint was, “something is creeping in my head.” The patient stated that since discharge, he had been taking the antibiotics but he did not remove the head dressing until the morning of his visit. At that time he noticed a foul smell. On presentation, the patient was febrile with a temperature of 101.9°C. However, other vital signs and lab values were within normal limits. Physical examination showed a foul smelling scalp wound with extensively repaired lacerations and a small area (2x2cm) of wound dehiscence with exposed calvarium and maggots present. Examination of the left wrist laceration did not show any signs of infection or infestation. Subsequently, an oral and maxillofacial surgery consult was obtained for wound management.  The patient was immediately transported to the operating room for surgical debridement. In the operating room, the patient underwent general anaesthesia induction via the tracheal stoma and the patient was prepped and draped in a sterile fashion. All scalp wounds were reopened, a large number of maggots were removed manually and sent for identification analysis. Wound cultures were obtained and the necrotic wound margins were excised.   The patient was discharged 24 hours after the procedure with thorough written and verbal wound care instructions. The larvae specimens that were sent for identification were confirmed as Phaenicia sericata (green bottle fly/blowfly).  |
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#3
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06-02-2013, 07:49 PM
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 My Rank: STAFF SERGEANT Poster Rank:876 female Join Date: Apr 2010 Posts: 856 Mentioned: 4 Post(s) Quoted: 172 Post(s)
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Re: Scalp Wound Myiasis (Maggot Infestation)
"something is creeping in my head" fucking classic   |
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#4
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06-02-2013, 11:18 PM
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 ★ Legacy Member ★ Poster Rank:192 All woman Join Date: Jun 2012 Posts: 7,782 Mentioned: 22 Post(s) Quoted: 1420 Post(s)
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Re: Scalp Wound Myiasis (Maggot Infestation)
Where is that puke icon we so desperately need?
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#6
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06-03-2013, 04:18 PM
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 ★ Legacy Member ★ Poster Rank:607 female Join Date: Mar 2011 Posts: 1,507 Mentioned: 2 Post(s) Quoted: 112 Post(s)
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Re: Scalp Wound Myiasis (Maggot Infestation)
Oh my. My OCD would have prevented me from leaving that bandage on that long though. I would have been all in the mirror with other mirrors checking everything out as soon as I got home and probably every hour after that lol.
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#8
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06-03-2013, 04:38 PM
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 My Rank: SERGEANT Poster Rank:1184 Male Join Date: May 2013 Posts: 535 Mentioned: 0 Post(s) Quoted: 57 Post(s)
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Re: Scalp Wound Myiasis (Maggot Infestation)
Then we also use these little guys in my burn unit to clean people. Where do you think we got the idea in the first place?
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#9
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06-03-2013, 08:49 PM
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| ★ Legacy Member ★ Poster Rank:192 All woman Join Date: Jun 2012 Posts: 7,782 Mentioned: 22 Post(s) Quoted: 1420 Post(s)
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Re: Scalp Wound Myiasis (Maggot Infestation)
There's an even more vomit-worthy picture on here of a guy who has masses of maggots in his head....I need to either find it or post it in this thread just for comparison....
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