PMC3633295_01
(a and b) Intraoral appearance of the wound showing pus discharge at the perforated mucosa in the anterior maxilla. (c) The extracted maggot from the wound. (d) Microscopic examination revealing five fingers like process in the anterior spiracle, incomplete peritreme in the posterior spiracle, and straight spiracular slits
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F1
Surgery with a chief complaint of pain and mobility in the upper front teeth, and in the month, it was noticed that couple of insects emerging out from her gums [Figure 1]. She gives a history of leprosy and filariasis for which she had undergone treatment. The surrounding mucosa was inflamed and tender on palpation with pus discharge [Figure 1a and b]. It appeared tapered in shape and creamy white in color, their segments giving the appearance of transverse rows, with a brown black tip anteriorly [Figure 1c] and was identified as larvae of Chrysomya bezziana by an entomologist. Microscopic examination [Figure 1d] revealed five fingers like process in the anterior spiracle, incomplete peritreme in the posterior spiracle, and straight spiracular slits which belong to the family Calliphoridae.
Photograph of hands affected by Hansen's disease
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F2
Extra oral examination revealed no active infection in hands (leprosy) [Figure 2] and legs (elephantiasis) [Figure 3].
Photograph of left leg affected by filariasis
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F3
Extra oral examination revealed no active infection in hands (leprosy) [Figure 2] and legs (elephantiasis) [Figure 3].