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1.
JNMA J Nepal Med Assoc ; 59(239): 709-711, 2021 Jul 30.
Article in English | MEDLINE | ID: mdl-34508503

ABSTRACT

Myiasis is a skin infection caused by developing larvae (maggots) of various Diptera fly species. The two most frequent flies that cause human infestations around the world are Dermatobia hominis (human botfly) and Cordylobia anthropophaga (tumbu fly). Maggots have been found to infest the nose, ear, orbit, tracheostomy wound, face, gums, and serous cavities, among other places. Maggots at the colostomy site are an uncommon occurrence. We report a case of maggots infestation surrounding the colostomy site. We came across a rather rare finding in a patient with advanced inoperable rectum cancer who initially complained of persistent nonspecific pain, discomfort, and foul-smelling discharge from the colostomy site. The issue at hand was identified to be maggots, and their removal alleviated the patient's symptoms. We underline the importance of regularly monitoring stoma sites to avoid maggot infestation, especially in tropical regions.


Subject(s)
Diptera , Myiasis , Animals , Calliphoridae , Colostomy , Humans , Larva , Myiasis/diagnosis , Myiasis/etiology , Myiasis/therapy
2.
JNMA J Nepal Med Assoc ; 58(231): 930-933, 2020 Nov 22.
Article in English | MEDLINE | ID: mdl-34506410

ABSTRACT

A 4-year-old girl who presented with pain in the abdomen, subcutaneous nodule, fever and was later diagnosed with Takayasu arteritis . Oral corticosteroid and methotrexate were started. Childhood TA should be kept in differential diagnosis when presented with subcutaneous nodules and increased acute phase reactants.


Subject(s)
Skin Neoplasms , Takayasu Arteritis , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , Methotrexate/therapeutic use , Takayasu Arteritis/complications , Takayasu Arteritis/diagnosis , Takayasu Arteritis/drug therapy
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