Myiasis is often seen associated with malignant conditions like basal cell carcinoma (BCC) or squamous cell carcinoma (SCC). The neglected nature and poor socioeconomic status of the patients play a contributory role in maggot infestation in these malignancies. Physical removal of the larvae is the mainstay of treatment. We described a neglected ulcerated BCC with maggot infestation in a 72 year old male.

Keywords: myiasis; poor hygiene; socioeconomic; turpentine oil.

1. Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25(1):79-105.
2. Kwong A, Yiu WK, Chow LW, Wong S. Chrysoma bezziana: A rare infestation of the breast. Breast J 2007;13:297-301.
3. Bayindir T, Cicek MT, Atambay M, Kizilay A. Cutaneous myiasis in a malignant wound of the head and neck region. J Craniofac Surg 2012;23:e19‑
4. Kamal S, Bodh SA, Kumar S, Goel R. Orbital myiasis complicating squamous cell carcinoma in xeroderma pigmentosum. Orbit 2012;31:137‑
5. Villwock JA, Harris TM. Head and neck myiasis, cutaneous malignancy, and infection: a case series and review of the literature. J Emerg Med. 2014;47(2):e37-41.
6. Raposo AA, Schettini AP, Massone C. Concurrent primary and secondary myiasis on basal cell carcinoma. An Bras Dermatol. 2012;87(2):292-295.
7. Gopalakrishnan S, Srinivasan R, Saxena SK, Shanmugapriya J. Myiasis in different types of carcinoma cases in southern India. Indian J Med Microbiol. 2008;26(2):189-192.
8. Nawin Kumar, Rajesh Parameshwaran Nair,Anuja Sinha, Amit Kumar. Myiasis in a case of invasive ductal carcinoma breast - A rare presentation. Med Res Chron. 2014;1(2) 208-2012.
9. Robio C, Ladro.n de Guevara C, Martin MA, Campos L,uesada A, Casado M. Cutaneous myiasis over tumor-lesions: Presentation of three cases. Actas Dermosifiliorg 2006;97:39-42.
10. Arbit E, Varon RE, Brem SS. Myiatic scalp and skull infection with diptera Sarcophaga: case report. Neurosurgery. 1986;18(3):361-362.

Dr Manvi Katoch

Anaesthesiologist, Zonal Hospital Dharamshala, India