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correspondence

Indian Pediatr 2011;48: 907

Cutaneous Myiasis


*Edwin Dias and Meena Dias,

*Professor and Head, Department of Pediatrics, KVG Medical College, Sullia, Karnataka, India.
Email: [email protected]
 
 


This is in response to the publication on umbilical myiasis in newborn [1]. We would like to share our experience with six cases of cutaneous myiasis. Surgical removal with local anesthesia is the preferred approach. Alternatively, one can use turpentine, liquid paraffin, petroleum jelly, olive oil which creates anaerobic environment and makes the larvae come out which can be removed using tweezers or forceps. We have used turpentine successfully without any side effects using it for a short duration of time. Similar experience is reported by Kumarasinghe, et al. [2]. Occasionally the larva is asphyxiated without emerging. The retained larva can cause an inflammatory response, leading to foreign body granuloma formation (a clump of inflammatory tissues) that may progress to calcification. This necessitates the immediate removal of the larva as they emerge from the tissue. In case of furuncles, digital pressure on both the sides of the lesion is sufficient to expel the larvae. If these measures fail then one can use the surgical removal under anesthesia.  

References

1. Ghosh T, Nayek K, Ghosh N, Ghosh MK.Umbilical myiasis in newborn. Indian Pediatr. 2011;48:321-3.

2. Kumarasinghe SPW, Karunaweera ND, Ihalamulla RL. Study of cutaneous myiasis in Sri Lanka. Int J Dermatol. 2000;39:689-94.
 

 

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