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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 410-413
DOI: 10.1055/s-0043-1769895
Case Report

Cerebral Myiasis Secondary to Burr Hole Evacuation: A Rare Illustrative Case Report

Rama Chandra Deo
1   Department of Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India
,
Abhijit Acharya 
1   Department of Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India
,
Souvagya Panigrahi
1   Department of Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India
,
Satya Bhusan Senapati
1   Department of Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India
,
A.K. Mahapatra
1   Department of Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India
,
Sumirini Puppala
2   Department of Neurology, IMS & SUM Hospital, Bhubaneswar, Odisha, India
› Institutsangaben Funding None.
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Abstract

Myiasis (maggot infestation) is a condition in which fly maggots feed off and develop in the tissues of living organisms. Most common in tropical and subtropical regions, human myiasis, is prevalent among individuals in close association of domestic animals and those inhabiting the unhygienic conditions. We, hereby, describe a rare case of cerebral myiasis (17th in the world, 3rd in India) that presented to our institution in Eastern India secondary in the operated site of craniotomy and burr hole few years back. Cerebral myiases are exceedingly rare conditions, especially in high-income countries with only 17 previously published cases with the reported mortality as high as 6 out of 7 cases dying of the disease. We additionally also present a compiled review of previous case literatures to highlight the comparative clinical, epidemiological features and outcome of such cases. Although rare, brain myiasis should be a differential diagnosis of surgical wound dehiscence in developing countries where conditions do exist in this country that permit myiasis. This differential diagnosis should be remembered, particularly when the classic signs of inflammation are not present.

Keywords

cerebral myiasis - encephalitis - maggots - seizures - wound dehiscence

Informed Consent

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




Publikationsverlauf

Artikel online veröffentlicht:
16. Juni 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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