Myiasis by <em>Dermatobia hominis</em> larvae in a post-menopausal patient having ulcerative vulvar carcinoma

Abstract

68 years old, post-menopausal, multiparous, female having carcinoma of vulva extending up to urethra. She was having foul smelling blood stained discharge with poor personal hygiene was referred from a primary health centre. On examination there was large necrotic cauliflower like growth at labia majora and large number of larva of Dermatobia hominis were crawling in necrotic tissue.Larvae were removed followed by cleansing of the affected area and a course of antibiotics was given. Patient was referred to Oncology Deptt. for further management of vulvar malignancy.