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.