[kellyhound]

A 64-year-old homeless emaciated man with poor personal hygiene reported to the emergency with severe maggot infestation of the genitalia.

He was brought in an inebriated state with a history of recent trauma.

On examination, he was found to be anorexic and smelled of urine.

Careful genital examination revealed that the penis was indurated and had a typical ‘moth-eaten appearance’ with the dorsal and the left lateral side of the penis eaten up with slough and necrotic tissue present.

There was a deep circumferential excavating ulcer of size 6×4 cm extending till the upper part of the scrotum.

Hundreds of maggots were seen infesting the ulcer.

Rest of the scrotal skin was normal with palpable testes.

With a view to cut the oxygen supply of the larvae, turpentine oil was used.

It showed a great response with most of the larvae migrating out of the lesion. Next, the wound was thoroughly washed, and the patient was taken up for debridement under local anaesthesia.

To prevent superadded secondary infection, the patient was started on intravenous ceftriaxone and metronidazole.

Per urethral catheter could be negotiated easily as urethra was intact.

The larva were sent for parasitological examination and were confirmed to be larvae belonging to D. hominis.

Histopathological examination of the surrounding tissue revealed no malignancy.

On follow-up the wound is healing and granulating well.

[Faust]

Looks like a hairy turtle that survived a shotgun suicide

[mr_feelgood]

This makes me want to identify as a woman

[Yakisoba]

Originally Posted by Faust ↗

Looks like a hairy turtle that survived a shotgun suicide

Lmao you never disappoint. Quit making me horny.

[Pyramid_Head]

Yea, I don't think they're saving that.

[Caf002]

I don’t think that he is going to be using that for its intended purpose, so might as well chop it off!

[azblue81]

Looks like a shrunken head.

[DarkSighted]

:hurp:

[Mr.NoCredit]

Looks like a pigs head covered in post apocalyptic cancer.

[rlxr]

I have a disease that causes ulcers like that to form on my body and for some god forsaken reason the first place they appear in an outbreak is my scrotum. I’ve never had maggots in there but they’re extremely painful, they feel like burns. I’ve had outbreaks that covered my entire body. The most painful spot is the back door, that’s the kind of pain that’s so intense you smell it. Smells like metal. I feel for the dude. Shits no fun.