Neonatal umbilical myiasis : JCN April issue 2017
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Introduction
Myiasis is a rare form of infestation caused by larvae of the dipterous fly. It is mainly observed in tropical and subtropical regions where basic sanitation is lacking. Although umbilical myiasis is well recognized in animals, infestation of human umbilical cord is a rare occurrence and almost exclusively found in neotropic areas. Warm and moist nature of umbilical stump attracts gravid female flies to lay eggs if a neonate is kept in an unhygienic environment. The accompanying omphalitis provides the required nutritive support for hatching of eggs and further development into the larval form.


Case Report
An 8-day-old neonate, delivered vaginally at term with an uneventful intrapartum and postpartum period, was brought to the Neonatal Intensive Care Unit with complaints of worms coming out of umbilical stump for 2 days. The neonate was delivered at a local quack's clinic with a history of cord being cut and tied in an unhygienic condition. There was no history of any specific application over the umbilical cord. The neonate was on exclusive breast feeds since birth, and no prelacteals were given. There was history of previous sibling death at 1 h of birth. Repeated inquiries directed toward possible etiologies for early neonatal death were not good enough to reach the diagnosis. It was mainly due to the poor educational status of the parents and delivery at a local quack's clinic during previous pregnancy......

http://www.jcnonweb.com/article.asp?issn=2249-4847;year=2017;volume=6;issue=2;spage=121;epage=123;aulast=Kumar
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