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Neonatal umbilical myiasis: A rare presentation in the neonatal period


1 Department of Neonatology, Lady Hardinge Medical College, New Delhi, India
2 Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India

Date of Submission03-May-2022
Date of Decision01-Sep-2022
Date of Acceptance07-Oct-2022
Date of Web Publication12-Dec-2022

Correspondence Address:
Rohit Anand,
Department of Neonatology, Lady Hardinge Medical College, New Delhi
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaps.jiaps_60_22

 




How to cite this URL:
Anand R, Sai AM, Nangia S. Neonatal umbilical myiasis: A rare presentation in the neonatal period. J Indian Assoc Pediatr Surg [Epub ahead of print] [cited 2023 Jun 9]. Available from: https://www.jiaps.com/preprintarticle.asp?id=363424




Myiasis is a form of infestation of human tissue by larvae of the dipterous fly which is a common entity in animals and its presence in human beings is a rare phenomenon. The moist nature of the umbilical cord makes it more favorable for the gravid female flies to lay eggs in unhygienic conditions.[1]

An exclusively breastfed 6-day-old female infant delivered at full term by normal vaginal delivery was brought by her parents with a complaint of umbilical swelling for 1 day. There was a history of “Ghee” application over the umbilicus. The cord had already fallen and there was redness along with swelling around the umbilicus stump with watery discharge. Few grayish-white-colored wriggling structures were seen at the umbilicus as shown in [Figure 1]. White-colored structures were confirmed to be worms and turpentine oil was applied. Later, worms were removed manually. The baby's wound was cleaned and dressed with turpentine oil. The baby was discharged in stable and healthy general condition after 5 days of hospital stay.
Figure 1: Clinical image – umbilical myiasis

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   Management Top


Mechanical removal of the larvae under local anesthesia is the traditional treatment for myiasis. Local application of several substances such as turpentine oil, mineral oil, ether, chloroform, ethyl chloride, mercuric chloride, phenol, olive oil, and iodoform results in the complete removal of all larvae.[2] Surgery is indicated for the removal of dead or decayed larvae from the affected site to prevent secondary infection or sepsis.[3]

Informed consent

The authors certify that they have obtained all appropriate patient consent forms.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understand that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Duro EA, Mariluis JC, Mulieri PR. Umbilical myiasis in a human newborn. J Perinatol 2007;27:250-1.  Back to cited text no. 1
    
2.
de Souza Barbosa T, Salvitti Sá Rocha RA, Guirado CG, Rocha FJ, Duarte Gavião MB. Oral infection by Diptera larvae in children: A case report. Int J Dermatol 2008;47:696-9.  Back to cited text no. 2
    
3.
Barolia DK, Singh AP, Tanger R, Gupta AK. Umbilical myiasis in a human neonate-treated with turpentine oil. J Dr NTR Univ Health Sci 2020;9:143.  Back to cited text no. 3
    


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