Home > Journals > Medicine > European Journal of Dermatology > summary
 
      Advanced search    Shopping cart    French version 
 
Latest books
Catalogue/Search
Collections
All journals
Medicine
European Journal of Dermatology
- Current issue
- Archives
- Subscribe
- Order an issue
- More information
Biology and research
Public health
Agronomy and biotech.
My account
Forgotten password?
Online account   activation
Subscribe
Licences IP
- Instructions for use
- Estimate request form
- Licence agreement
Order an issue
Pay-per-view articles
Newsletters
How can I publish?
Journals
Books
Help for advertisers
Foreign rights
Book sales agents



 

Texte intégral de l'article
 
Printable version

Cutaneous manifestation of myiasis in malignant wounds of the head and neck


European Journal of Dermatology. Volume 19, Number 1, 64-8, January-February 2009, Clinical report

Full Text  

Author(s) : Andreas M Sesterhenn, Wolfgang Pfützner, Daniel M Braulke, Susanne Wiegand, Jochen A Werner, Anja Taubert

Summary : Parasitic infestation of the body by dipterous larvae belongs to the most undesirable events in cancer patients with malignant cutaneous wounds. Human myiasis is rare in developed countries of the northern hemisphere but occurs more often in tropical and subtropical regions. Advanced age, poor hygiene, bad housing conditions, vascular disease and diabetes seem to be predisposing factors for myiasis. We report a case of myiasis in an extensive skin metastasis resulting from a primary cancer located in the oropharynx. In the literature there are few reports on myiasis in malignant wounds resulting from malignancies of the head and neck area. Furthermore, guidelines or recommendations for standard treatment options are not available. Therefore a review of the literature with a focus on therapeutical aspects was performed. Conclusion: At present the treatment of choice for human myiasis in malignant cutaneous wounds comprises mechanical removal of maggots and, if possible, surgical excision of the lesion. Most important in the treatment of malignant wounds is a thorough rinsing procedure with antiseptic- and/or antibiotic solutions before consistent dressing changes on a daily basis. Here, a complete covering of the wound is indispensable, especially in the summer months.

Keywords : head and neck cancer, maggots, myiasis, palliative therapy, skin metastasis

 

About us - Contact us - Conditions of use - Secure payment
Latest news - Conferences
Copyright © 2007 John Libbey Eurotext - All rights reserved
[ Legal information - Powered by Dolomède ]