Human myiasis in patients with diabetic foot: 18 cases

Annals of Saudi Medicine
Serhat UysalHusnu Pullukcu

Abstract

Myiasis complication of diabetic foot ulcer has only been presented in a few case reports. Therefore, there is a need for additional data on this infestation. Evaluate clinical characteristics of human myiasis in patients with diabetic foot. Case series. A tertiary referral healthcare institution and a diabetic foot center. Patients with diabetic foot infection com.plicated by myiasis who were admitted between June 2012 and July 2017. Bacterial infection rate, accompanying bacterial agents, amputation (morbidity) and mortality rate. 18. Eight (44.4%) of the patients were female. Sixteen (88.9%) had moderate-to-severe infections; 15 (83.3%) had necrotic tissue. Larval debridement therapy was performed on all patients at the bed.side in consecutive sessions. A third-stage larva of Calliphora was detected in one case (5.6%). Second- and third-stage larvae of Lucilia sericata were detected in 5 (27.8%) and 7 (38.9%) patients, respectively. All the patients had a bacterial infection with myiasis. Twelve (66.7%) patients underwent amputation. Three (16.7%) patients died. Myiasis was more frequent in the months of May, June and July. To our knowledge, this is the largest reported series of cases of diabetic foot with myiasis. The most...Continue Reading

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Citations

Oct 14, 2020·Ear, Nose, & Throat Journal·Yan WangYanjun Wang
Jul 9, 2021·Ear, Nose, & Throat Journal·Jing Ou, Yan Huang

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Methods Mentioned

BETA
amputation

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