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  • Massive Brain Myiasis in a Child with Xeroderma Pigmentosum

    Final Number:

    Luiz Daniel Cetl MD; Bruno Fernandes de Oliveir Santos MD; Ana Camila Gandolfi MD; Samuel Salu MD; Italo Capraro Suriano MD; Sergio Cavalheiro

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2014 Annual Meeting

    Introduction: Brain myiasis is a rare affection in humans. There is only 9 cases reported in international medical literature.

    Methods: We describe a case of a 8 years old boy with advanced Xeroderma Pigmentosum which came up with a skull infection in a surgical site of a squamous cells carcinoma's resection. This lesion showed many maggots emerging from it. There were also necrotic bone a surroundings tissues,

    Results: This patient were submitted to debridment of necrotic tissue with maggot evacuation with exhaustive irrigation with saline solution. At the end of surgery there were no way to close the surgical wound, since there were no skin available to do it. We decided to use a sterile serum bag, with a "Bogota Bag" conception. The child were kept with antibiotics for treatment and there were no motor deficits.

    Conclusions: This is the first brazilian description of a brain myiasis and also a first one with Xeroderma Pigmentosum associated.

    Patient Care: We hope with this case show a dramatic situation to avoid similar cases

    Learning Objectives: With this case we want do show up a rare lesion, associated with bad care, and avoidable by simple actions.


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