Dhawan Jyoti, Singh Saurabh, Gupta Somesh
Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.
J Cutan Aesthet Surg. 2011 May;4(2):129-31. doi: 10.4103/0974-2077.85037.
A 23-year-old woman presented with large exophytic genital wart arising from perineum, vulva, introitus of the vagina, and inner aspect of thighs. Patient developed severe itching and formication (insect-crawling sensation) in the lesions for past 1 week, though careful examination did not reveal any insects. Considering that the disease was causing psychological stress and physical symptoms, radiofrequency excision was planned. However, during the procedure, several maggots appeared from the crypts. The procedure was abandoned and maggots were removed manually. Subsequently external giant warts were removed using radiofrequency device. There was no recurrence of excised warts during 3 month follow-up. To our knowledge, this is the second reported case of maggots in genital warts.
一名23岁女性，会阴、外阴、阴道入口及大腿内侧出现巨大外生性生殖器疣。过去1周，患者病变部位出现严重瘙痒和蚁走感（昆虫爬行感），尽管仔细检查未发现任何昆虫。考虑到该疾病引起心理压力和身体症状，计划进行射频切除。然而，手术过程中，隐窝处出现了几条蛆虫。手术被迫中止，蛆虫被手动清除。随后使用射频设备切除了外部巨大疣体。在3个月的随访中，切除的疣体未复发。据我们所知，这是第二例报道的生殖器疣中有蛆虫的病例。
