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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 2  |  Page : 143-145

Umbilical myiasis in a human neonate – Treated with turpentine oil


Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Date of Submission30-Sep-2018
Date of Decision10-Mar-2020
Date of Acceptance10-Mar-2020
Date of Web Publication18-Jul-2020

Correspondence Address:
Dr. Aditya P Singh
Near The Mali Hostel, Main Bali Road, Falna, Dist-Pali, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_94_18

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  Abstract 


Umbilical myiasis in a human neonate is rare. It occurs due to the unhygienic upbringing of the baby. Common sites of myiasis are exposed areas of the body such as extremities, scalp, and back. Herein, we report a case of umbilical myiasis, an extremely rare condition in a 12-day-old neonate.

Keywords: Human, maggots, myiasis, neonate, turpentine oil, umbilicus, worm


How to cite this article:
Barolia DK, Singh AP, Tanger R, Gupta AK. Umbilical myiasis in a human neonate – Treated with turpentine oil. J NTR Univ Health Sci 2020;9:143-5

How to cite this URL:
Barolia DK, Singh AP, Tanger R, Gupta AK. Umbilical myiasis in a human neonate – Treated with turpentine oil. J NTR Univ Health Sci [serial online] 2020 [cited 2020 Aug 5];9:143-5. Available from: http://www.jdrntruhs.org/text.asp?2020/9/2/143/289900




  Introduction Top


Myiasis is a parasitic infestation of human tissue by larva (maggots) of the fly. Myiasis is classified based on the anatomical site of infestation such as cutaneous myiasis, nasal myiasis, ophthalmic myiasis, and aural myiasis.[1] Myiasis is commonly a disease of animals but a human being can get infested accidentally.[2] Myiasis in human beings occurs in the following conditions such as low socioeconomic status, poor hygienic condition, mentally retarded child, and diabetes. Umbilical myiasis in neonates occurs due to poor hygienic conditions in the poor socioeconomic family.


  Case Report Top


A 12-day-old male child, weighing 2.3 kg, born full-term normal vaginal delivery, brought by parents with a chief complaint of the worm coming out from umbilicus for 2 days. There was no history of fever. There is no history of redness of umbilicus and no pus discharge from the umbilicus. On examination, the baby was averagely nourished, well cry, and activity according to age. The hygienic was good without poor socioeconomic status. The abdomen was soft, liver palpable as per age, and no other organomegaly. The cord was shaded-off already. Few white coloured worms were coming out from umbilicus [Figure 1]. The ultrasonography of abdomen of the patient was normal except the umbilical region showing few echogenic structures. Routine blood investigation was appropriate for age except for raised eosinophil counts. Visible worms were removed manually. The patient's wound was cleaned and dressed with turpentine oil. An oral antibiotic was given to the patient to prevent sepsis. Dressing with turpentine oil was done for 3 days and the wound was found to be free from worms [Table 1]. Later, the wound was cleaned and dressed with povidone-iodine. After 7, the wound was healed.
Figure 1: Showed umbilical myiasis

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Table 1: Reported Cases of Umbilical Myiasis

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[16]


  Discussion Top


Myiasis is derived from the Greek word myia for the fly. Myiasis word was proposed by Frederick William Hope for diseases of humans caused by the larva of the dipteral fly.[3] Myiasis occurs in tropic and subtropic areas because moisture and heat aggravates the growth of maggots in poor hygienic conditions.[4] Neonatal umbilicus myiasis occurs when the house fly lays eggs in the umbilicus. The larva hatches the eggs and feeds dead tissues of the umbilicus. The neonatal umbilicus is a moist and warm area that favours the myiasis.[5] Umbilical myiasis is commonly caused by the larva of the dipterous fly.[6] Neonatal umbilical myiasis cases are accompanied with complaints of the worm coming out from umbilicus with or without fever. There are various treatment modalities, such as manual removal of the larva, dressing in antiseptic solution or cream, and oral antibiotics. Some physicians used ether as a repellent to expel larva [Table 1].[7],[9],[11],[13],[15] In our study, we used turpentine oil over the umbilicus as a repellent for larva and manually removed the larva and oral antibiotics were given to avoid sepsis.


  Conclusion Top


Umbilical myiasis in the human neonate is a reflection of poor hygiene and low socioeconomic status of the baby. In the world, there are few reported cases of umbilical myiasis in human neonates. In these cases, treatment was done by topical, oral, and intravenous antibiotics and ether was used as larva repellent. Turpentine oil is also a good larva repellent and we have provedthis with good results in our study.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Acknowledgment

Dr. Maryem Ansari, pathologist, Assistant professor, SMS Medical College Jaipur.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sherman RA. Maggot therapy takes us back to the future of wound care: New and improved maggot therapy for the 21st century. J Diabetes Sci Technol 2009;3:336-44.  Back to cited text no. 1
    
2.
Duro EA, Mariluis JC, Mulieri PR. Umbilical myiasis in a human newborn. J Perinatol 2007;27:250-1.  Back to cited text no. 2
    
3.
Hope FW. On insects and their larvae occasionally found in the human body. Trans R Entomol Soc Lond 1840;2:256-71.  Back to cited text no. 3
    
4.
Beeregowda YC, Kiran B, Gowda NY. Neonatal umbilical myiasis with sepsis. Indian J Pediatr 2010;77:1443-5.  Back to cited text no. 4
    
5.
Kumar V, Gupta SM. Umbilical myiasis in a neonate. Paediatr Int Child Health 2012;32:58-9.  Back to cited text no. 5
    
6.
Ghosh T, Nayek K, Ghosh N, Ghosh MK. Umbilical myiasis in newborn. Indian Pediatr 2011;48:321-3.  Back to cited text no. 6
    
7.
Patra S, Purkait R, Basu R, Konar MC, Sarkar D. Umbilical myiasis associated with Staphylococcus aureus sepsis in a neonate. J Clin Neonatol 2012;1:42-3.  Back to cited text no. 7
[PUBMED]  [Full text]  
8.
Ambey R, Singh A. Umbilical myiasis in a healthy newborn. Paediatr Int Child Health 2012;32:56-7.  Back to cited text no. 8
    
9.
Dey PK, Bhattacharya T, Pal SN, Das S, Pal S. Umbilical myiasis in a newborn: A case report. J Coll Med Sci Nepal 2012;8:45-8.  Back to cited text no. 9
    
10.
Puvabanditsin S, Malik I, Weidner LM, Jadhav S, Sanderman J, Mehta R. Neonatal umbilical cord myiasis in New Jersey. J Perinatol 2014;34:718-9.  Back to cited text no. 10
    
11.
Mondal M, Biswas T, Banerji N, Bose S, Biswas B, Mandal PK. Umblical myiasis with sepsis in a neonate. Asian J Med Sci 2014;5:106-7.  Back to cited text no. 11
    
12.
Goyal S, Dhyani A, Agarwal K. Neonatal umbilical myiasis: Case report. Int J Med Microbiol Trop Dis 2015;1:40-1.  Back to cited text no. 12
    
13.
Singh AK, Nag SS, Mitra P, Roy A. Neonatal umbilical myiasis. Indian Dermatol Online J 2015;6:312-3.  Back to cited text no. 13
[PUBMED]  [Full text]  
14.
Pahuja M, Bhambri A, Pandey N, Chaudhary S. Umbilical myiasis – A rare case in Rohilkhand Region of U.P. Natl J Integr Res Med 2016;7:126-7.  Back to cited text no. 14
    
15.
Mukherjee D, Nandurkar P, Ray J. Neonatal umbilical myiasis. Sri Lanka J Child Health 2016;45:52-3.  Back to cited text no. 15
    
16.
Kumar M, Thakur KC, Chib R, Gupta G. Neonatal umbilical myiasis. J Clin Neonatol 2017;6:121-3.  Back to cited text no. 16
  [Full text]  


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