Journal of Dr. NTR University of Health Sciences

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

Umbilical myiasis in a human neonate – Treated with turpentine oil


Dinesh K Barolia, Aditya P Singh, Ramesh Tanger, Arun K Gupta 
 Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Aditya P Singh
Near The Mali Hostel, Main Bali Road, Falna, Dist-Pali, Rajasthan
India

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.



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;9:143-145


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 Sep 24 ];9:143-145
Available from: http://www.jdrntruhs.org/text.asp?2020/9/2/143/289900


Full Text



 Introduction



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



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}{Table 1} [16]

 Discussion



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



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.

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