腎臓学と治療学ジャーナル

An Unusual Itching in a Hemodialysis Patient Caused by Maggots of Dipterous Larvae in Asir Region, Saudi Arabia: A Case Report

Abstract

Haidar Omar, Martin R.P. Joseph, Samer Bastawrous , Amr Salah, Mona M. Al-Shahrani, Eltayeb A. Mohamed, Mohammed Al-Homrany and Mohamed E. Hamid*

An 81-year-old female patient suffered from End-Stage Renal Disease (ESRD) and on regular hemodialysis since 2012, was observed to have intense itching and cutaneous furunculoid lesions. The lesions on both legs were found infested with fly larvae (maggots). The amplification of the mitochondrial Cytochrome c Oxidase subunit I gene (COI) was successful with the annealing temperature of 51.8oC but sequencing was of poor quality that did not allow species identification. The case was treated by applying debridement with irrigation of chloroform and vegetable oil to eliminate the larvae from the wound under local anesthesia and it was effective. The study presented the first case of myiasis in ESRD and a diabetic patient in asir region of Saudi Arabia.