PMC4926550_01
(a) Computed tomography (CT) of the skull showing cerebral mass, with marked mass effect. (b) CT showing tumor resection
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F1
Emergency brain computed tomography (CT) showed the left frontal tumor lesion with significant mass effect [Figure 1a] that was operated by craniectomy immediately [Figure 1b].
Dehiscence, without secretion, hyperthermia or important hyperemia
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F2
On the 7th postoperative day, his level of awareness did not improve, and the wound became dehiscent [Figure 2].
(a) Surgical reapproach showing the presence of larvae on the surgical bed (arrow). (b) Computed tomography showing small, rounded, and regular hypodense images at the surgical site (arrows)
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F3
Reoperation showed the presence of larvae on the surgical bed [Figure 3a; Video 1] that were removed and treated using tweezers, place cleaning, debridement, administering ivermectin by nasogastric tube, along with broad-spectrum antibiotics. Hypodense small, rounded, and regular images were identified at the surgical site [Figure 3b].