Gupta Mayank, Rao Seema Rajesh, Salins Naveen, Singhai Pankaj, Rao Krithika S
Department of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Palliat Care. 2021 Jul-Sep;27(3):439-441. doi: 10.25259/IJPC_428_20. Epub 2021 Sep 29.
Maggots are dipterous larvae of flies. Infestation of vertebrate animals (including humans) by maggots is termed as Myiasis. Warm and Humid climate, low socio-economic status, lack of knowledge and poor living conditions, malignant wounds predispose the cancer patients to maggot infestation in India. Apart from infestation in the wounds; oral, ophthalmic, nasal, aural, enteric, urogenital, trachea-pulmonary and rectal myiasis have been reported. Maggot infestation of the Intercostal drain (ICD) container without associated pleural myiasis is an extremely rare entity. We describe a rare case report of maggots in the ICD in a patient with metastatic chondrosarcoma femur with ICD in situ for malignant pleural effusion. Early detection and management are the keys to prevent the catastrophic complication of pleural myiasis.
蛆是苍蝇的双翅目幼虫。蛆对脊椎动物（包括人类）的侵扰被称为蝇蛆病。在印度，温暖潮湿的气候、社会经济地位低下、知识匮乏和恶劣的生活条件以及恶性伤口使癌症患者易受蛆虫侵扰。除了伤口感染外，还报告了口腔、眼科、鼻腔、耳部、肠道、泌尿生殖系统、气管 - 肺部和直肠蝇蛆病。肋间引流（ICD）容器出现蛆虫感染而无相关胸膜蝇蛆病是一种极其罕见的情况。我们描述了一例罕见病例，一名股骨转移性软骨肉瘤患者因恶性胸腔积液留置ICD，ICD中出现了蛆虫。早期发现和处理是预防胸膜蝇蛆病灾难性并发症的关键。
