Wound myiasis commonly occurs in tropical regions and is caused by flies laying eggs on open wounds. It is essential to raise awareness about preventive measures and treatment methods for this disease, especially because many people now visit endemic areas from non-endemic regions. This report presents a wound myiasis case caused by Chrysomya bezziana, resulting from a small wound sustained by a spectator of "Tip-Cat-sport." A 64-year-old woman was admitted to a hospital in Bangladesh with a severe facial wound infection and symptoms of fever, pain, and swelling. She sustained an injury from the tip-cat tool while watching the sport, and the wound remained untreated. Magnetic resonance imaging was used to diagnose the infection as wound myiasis caused by Chrysomya bezziana. Turpentine oil was applied to the open wound to create an oxygen-deficient environment that forces maggots (larval stage of the fly) on its surface to be removed. After removal, wound debridement was performed, followed by surgical excision of the affected tissue and skin grafting. After 2 months, the wound completely healed. We hope this case report will enhance the knowledge about wound myiasis, including preventive measures and treatment options, among those with limited awareness of this condition. This report presents a wound myiasis case caused by Chrysomya bezziana, resulting from a small wound sustained by a spectator of “Tip‐Cat‐sport.” The wound, infected by Chrysomya bezziana larvae, was treated with turpentine oil, debridement, and skin grafting. This case highlights the need for awareness of prevention and treatment in endemic areas.

We report a case of a 61-year-old man with a history of alcoholic cirrhosis and impaired mobility who presented to the Emergency Department (ED) with hepatic encephalopathy, cellulitis, sepsis, and extensive maggot infestation (myiasis). Maggots were recovered from the patient's skin, urethra, and rectum, and the burden of maggots in the urethra had led to bladder outlet obstruction. Blood cultures revealed polymicrobial bacteremia, including Ignatzschineria larvae. Ignatzschineria larvae is a commensal bacterium that resides in the digestive tract of maggots. The organism is rarely pathogenic to humans, and case reports of Ignatzschineria larvae bacteremia are rare. This case demonstrates two uncommon complications of wound myiasis: bacteremia and bladder infestation, causing outlet obstruction and urinary retention. Patients who present to the Emergency Department with myiasis are at risk for bacteremia from both typical skin pathogens related to their wounds and pathogens associated with the maggots themselves.

Coccidioidomycosis is predominantly a pulmonary disease, however dissemination can include unique cutaneous presentations. We report a previously healthy 11-year-old female with delayed diagnosis of cutaneous scalp coccidioidomycosis with disseminated disease with secondary wound myiasis and bacterial superinfection. She required extensive surgical debridement, eventually requiring a skin graft and prolonged hospitalization for antifungal therapy, experiencing a unique adverse effect.

Our findings highlight the significance of regularly assessing wounds and related symptoms in patients with head and neck cancer. This study found that systemic treatment with anti-helmenthic such as Ivermectin and Albendazole combined with broad spectrum antibiotics and turpentine oil dressing helps in removal of maggots, early recovery, ease of agony, and other related symptoms. However, more comprehensive studies are required to demonstrate the efficient management of malignant wound myiasis. 10 patients with advanced head and neck cancer presented with maggots either from wound site, scalp, oral cavity or nostril, with ECOG score 3 or less were enrolled in this study. Symptoms were assessed using Edmonton Symptom Assessment Scale (ESAS) and Wound was assessed by Wound Assessment Tool, at baseline and then at days 1, 3, 5, and 7. Tab Albendazole 400 mg once daily, turpentine oil for dressing three times daily for five days, Tab Ivermectin 12 mg and Broad-Spectrum Antibiotics- Tab Amoxicillin + Potassium Clavulanate and Tab Metronidazole twice a day were given to all patients for five days. We found significant improvement in scores of wound and all other related symptoms on days 1, 3, 5 & 7, except for bleeding, edema, nausea, anxiety, appetite loss and feeling of well-being, which remained same on Day 1, but improved afterward. Side effects were self-limiting. Systemic treatment with Anti helminthic- Ivermectin, Albendazole, Broad spectrum antibiotics, and turpentine oil enhances the removal of maggots, early recovery and relief from distress and associated symptoms.

Cutaneous myiasis is an infestation of the skin with larvae of some dipteran species. Among humans, Dermatobia hominis is the most frequently encountered dipteran responsible for cutaneous myiasis. This insect is endemic to tropical and subtropical regions, consequently, individuals travelling from non-endemic areas are most susceptible to infection due to a lack of prior exposure. Three clinical variants of myiasis are distinguished: furuncular, migratory, and wound myiasis. Furuncular myiasis represents the most common form among travelers, yet it is a rare cause of pediatric skin manifestations in developed countries. Limited awareness of this condition in non-endemic regions contributes to diagnostic challenges. In this scenario, ultrasound is useful in the diagnostic workup, enabling the identification of the viable larva.