Surgical management for the case of scrotal myiasis in a 7-day-old neonate: a case report

Abstract

Introduction: Neonatal myiasis is a rare condition, with few reports available on the subject. Surgical management is recommended in some cases. In this study, we present the case of a 7-day-old male neonate with larvae in his scrotum who underwent surgery.

Case presentation: A full-term 7-day-old male infant (Aryan race) was referred to a children's hospital. On the sixth day after birth, three 3-4 mm long larvae crawled out from his scrotum, with the number increasing over time. He was given intravenous antibiotics and topical mupirocin to combat secondary infections. The surgical treatment involved two steps: first, the larvae were extracted, and then the infection site was washed with betadine and hydrogen peroxide to help remove any possible remaining larvae.

Conclusion: Scrotal myiasis is a rare disease that occurs in infants and requires immediate treatment. Surgical treatment is effective in removing dead or decaying larvae from a deep-seated location and washing the infection site to prevent secondary infection.

Keywords: Iran; Myiasis; Neonate; Scrotum; Surgery.

Fig. 1

A Larvae emerging from the scrotum on admission. B Larvae emerging from the scrotum before surgery

Fig. 2

A Extracted larvae during surgery. B Scrotal view after surgery