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A 64-year-old man arrived at the hospital with repeated seizures and confusion. Years earlier, he had undergone surgery to remove bleeding around his brain. Now, a wound at the old surgical site had reopened, and something inside was moving!!!

Doctors found an opening in his scalp and skull with exposed brain tissue and a cluster of wriggling MAGGOTS.

This extremely rare condition is called cerebral myiasis. His poorly healing, foul-smelling wounds were an open invitation for flies. The flies laid eggs, one thing led to another, and boom. Maggots.

Surgeons removed approximately 25–30 maggots with forceps and cleared away infected bone.

 

He received intravenous antibiotics and daily wound care. Remarkably, his alertness improved, and his seizures stopped before discharge, with skull reconstruction planned for a later visit.

Do you know anyone, or have you treated anyone, with a maggot infestation?