Breast carcinoma is one of the leading causes of morbidity and mortality all over the world. Myiasis, the infestation of living tissue by fly larva maggots and is typically linked to inadequate personal hygiene and substandard environmental conditions. This case report describes a rare instance of myiasis in a patient with advanced breast carcinoma. A 54-year-old female, previously diagnosed with left-sided breast cancer, presented with a foul-smelling, ulcerated lesion over the affected area. On clinical examination, a large wound infested with live maggots was observed. The live maggots were carefully removed under strict aseptic precautions, followed by thorough wound care, and appropriate antibiotic therapy was initiated as needed. The patient was monitored for 3 days, during which local wound management continued, and her general condition improved. She was later referred to a tertiary care center for further oncological evaluation and treatment. This case highlighted the importance of meticulous wound management and hygiene, especially in immunocompromised patients, such as those with malignancies, to prevent secondary infections, like myiasis.
Khan et al. (Thu,) studied this question.