Post-Cranioplasty Related Myiasis

Abstract

Cutaneous myiasis is a lesion that can be primary or secondary and is caused by a diptera. It is presented the case of a 30-year-old woman with a history of having suffered a severe traumatic brain injury seven months ago. It was necessary to perform cranioplasty, which left neurological sequelae. The patient arrived to the clinic due to exposure of surgical material in the affected area, associated with erythema, edema, abundant purulent and fetid discharge, with bradypsychia and bradylalia. A diagnosis of cutaneous myiasis was made by visualizing the larvae in the dura mater when methacrylate material was removed during surgical washing, and prophylactic antimicrobials were also used. During the hospital stay, the patient was treated with antibiotics until the infectious process was controlled and remitted. The case is presented because of the importance of thinking about this disease, despite being rare.