Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family

Background: Myiasis is a parasitic infestation of tissues or body cavities of mammals with dipterous larvae. The patients with diabetic foot ulcers are more vulnerable to acquiring infestation; however, the infestation may be neglected and mistreated in some cases.  Methods: Data were collected o...

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Autores principales: Evren Tileklioğlu, İbrahim Yildiz, Fürüzan Bozkurt Kozan, Erdoğan Malatyali, Mustafa Bülent Ertuğrul, Hatice Ertabaklar
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Publicado: Tehran University of Medical Sciences 2021
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spelling oai:doaj.org-article:f6110839343742d382de0058a8b707372021-11-29T07:18:54ZWound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family1735-70202008-238Xhttps://doaj.org/article/f6110839343742d382de0058a8b707372021-11-01T00:00:00Zhttps://ijpa.tums.ac.ir/index.php/ijpa/article/view/3291https://doaj.org/toc/1735-7020https://doaj.org/toc/2008-238XBackground: Myiasis is a parasitic infestation of tissues or body cavities of mammals with dipterous larvae. The patients with diabetic foot ulcers are more vulnerable to acquiring infestation; however, the infestation may be neglected and mistreated in some cases.  Methods: Data were collected of twelve myiasis cases with diabetic foot ulcers in Nazli-Selim Eren Chronic Wound and Infections Care Unit, Aydin, Turkey between 2017 and 2019. Demographic, clinical characteristics of the patients and clinical examination of the wound were recorded. To morphology-based identification method of the agents, the developmental stages of the maggots were examined. Results: The cases aged between 46 and 81 years (10 males, two females). Eight of the larvae collected from wounds had Calliphoridae and four had Sarcophagidae family. The larvae were infested right/left foot sole, thumb, ankle, and mostly left toes. The number of larvae collected from the cases ranged from 2 to 48. Third-stage larvae (L3) were mostly detected. Mixed (L1-L2, L2-L3) larvae were detected in a patient. The infestations were more common in July and August. According to the score of Infectious Diseases Society of America (IDSA), ten (83%) cases had moderate and two (17%) cases were mild diabetic foot infections (DFIs). Conclusion: Diabetic foot ulcers should be evaluated in terms of myiasis. This was the first study in our province indicating that myiasis should not be neglected and different species of flies were responsible for myiasis cases.Evren Tileklioğluİbrahim YildizFürüzan Bozkurt KozanErdoğan MalatyaliMustafa Bülent ErtuğrulHatice ErtabaklarTehran University of Medical Sciencesarticlemyiasiswounddiabetic footcalliphoridaesarcophagidaeInfectious and parasitic diseasesRC109-216ENIranian Journal of Parasitology, Vol 16, Iss 4, Pp 678-685 (2021)
institution DOAJ
collection DOAJ
language EN
topic myiasis
wound
diabetic foot
calliphoridae
sarcophagidae
Infectious and parasitic diseases
RC109-216
spellingShingle myiasis
wound
diabetic foot
calliphoridae
sarcophagidae
Infectious and parasitic diseases
RC109-216
Evren Tileklioğlu
İbrahim Yildiz
Fürüzan Bozkurt Kozan
Erdoğan Malatyali
Mustafa Bülent Ertuğrul
Hatice Ertabaklar
Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
description Background: Myiasis is a parasitic infestation of tissues or body cavities of mammals with dipterous larvae. The patients with diabetic foot ulcers are more vulnerable to acquiring infestation; however, the infestation may be neglected and mistreated in some cases.  Methods: Data were collected of twelve myiasis cases with diabetic foot ulcers in Nazli-Selim Eren Chronic Wound and Infections Care Unit, Aydin, Turkey between 2017 and 2019. Demographic, clinical characteristics of the patients and clinical examination of the wound were recorded. To morphology-based identification method of the agents, the developmental stages of the maggots were examined. Results: The cases aged between 46 and 81 years (10 males, two females). Eight of the larvae collected from wounds had Calliphoridae and four had Sarcophagidae family. The larvae were infested right/left foot sole, thumb, ankle, and mostly left toes. The number of larvae collected from the cases ranged from 2 to 48. Third-stage larvae (L3) were mostly detected. Mixed (L1-L2, L2-L3) larvae were detected in a patient. The infestations were more common in July and August. According to the score of Infectious Diseases Society of America (IDSA), ten (83%) cases had moderate and two (17%) cases were mild diabetic foot infections (DFIs). Conclusion: Diabetic foot ulcers should be evaluated in terms of myiasis. This was the first study in our province indicating that myiasis should not be neglected and different species of flies were responsible for myiasis cases.
format article
author Evren Tileklioğlu
İbrahim Yildiz
Fürüzan Bozkurt Kozan
Erdoğan Malatyali
Mustafa Bülent Ertuğrul
Hatice Ertabaklar
author_facet Evren Tileklioğlu
İbrahim Yildiz
Fürüzan Bozkurt Kozan
Erdoğan Malatyali
Mustafa Bülent Ertuğrul
Hatice Ertabaklar
author_sort Evren Tileklioğlu
title Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
title_short Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
title_full Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
title_fullStr Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
title_full_unstemmed Wound Myiasis in Diabetic Foot Ulcer: Calliphoridae and Sarcophagidae Family
title_sort wound myiasis in diabetic foot ulcer: calliphoridae and sarcophagidae family
publisher Tehran University of Medical Sciences
publishDate 2021
url https://doaj.org/article/f6110839343742d382de0058a8b70737
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AT ibrahimyildiz woundmyiasisindiabeticfootulcercalliphoridaeandsarcophagidaefamily
AT furuzanbozkurtkozan woundmyiasisindiabeticfootulcercalliphoridaeandsarcophagidaefamily
AT erdoganmalatyali woundmyiasisindiabeticfootulcercalliphoridaeandsarcophagidaefamily
AT mustafabulentertugrul woundmyiasisindiabeticfootulcercalliphoridaeandsarcophagidaefamily
AT haticeertabaklar woundmyiasisindiabeticfootulcercalliphoridaeandsarcophagidaefamily
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