PMC4326996_01
The predominantly right vulval involvement with overlying sloughed skin and superficial crusting with maggot creeping through
TP-5-58-g001.jpg
PMC4326996_01_TP-5-58-g001.jpg
F1
Local examination of vulval, peri-vulval and periuretheral region showed excoriation along with edema and superficial sloughing with maggots emerging through, predominantly on right side with a very strong putrid smell [Figure 1].
Photograph of same site after cleansing and removal of overlying sloughed skin showing ulcerated cavity full of maggots
TP-5-58-g002.jpg
PMC4326996_01_TP-5-58-g002.jpg
F2
Betadine cleaning followed by removal of superficial crust and slough was done [Figure 2].