PMC4356694_01
Lesion at the medial canthus, with free-moving maggots.
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Her husband also noticed small whitish-yellow worm-like structures crawling out from the wound (Figure 2).
CT scan orbit showing no signs of bone involvement, with normal sinuses.. Abbreviation: CT, computed tomography.
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Computed tomography (CT) scan of the orbit showed no signs of bone erosion or paranasal sinus involvement, except for the soft tissue swelling (Figure 3).
Mechanical removal of maggots with wound debridement.
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Mechanical debridement of the wound was done, and freely moving maggots were removed with the help of forceps, under local anesthesia using 4% xylocaine (Figure 4).
Follow up at 2 weeks, with completely healed wound.
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The wound started to heal, with granulation tissue formation, and healing was completed by the end of 2 weeks (Figure 5).
Maggots removed from patient's wound.
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Based upon these findings they were confirmed to be larvae of C. bezziana (Figures 6-8).
Mouth hooks with cuticular spines around body of larvae.
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Based upon these findings they were confirmed to be larvae of C. bezziana (Figures 6-8).
Incomplete posterior spiracular peritreme of Chrysomya bezziana.
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Based upon these findings they were confirmed to be larvae of C. bezziana (Figures 6-8).