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Year : 2022  |  Volume : 19  |  Issue : 2  |  Page : 164-166

Successful application of Maggot Debridement Therapy (MDT) on a Fournier's gangrene: First case report in Nigeria

1 Department of Medical Microbiology and Parasitology, College of Health Sciences, Bayero University; Department of Clinical Microbiology, Aminu Kano Teaching Hospital, Kano, Nigeria
2 Department of Surgery, College of Health Sciences, Bayero University, Kano-Nigeria/Aminu Kano Teaching Hospital, Kano, Nigeria
3 Department of Surgery, Abubakar Imam Urology Centre, Kano, Nigeria
4 Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
5 Department of Medical Microbiology and Parasitology, College of Health Sciences, Bayero University, Kano, Nigeria

Correspondence Address:
Kabir Musa Adamu
Department of Surgery, Bayero University/Aminu, Kano Teaching Hospital, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njbcs.njbcs_42_22

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Fournier's gangrene is a rapidly progressing soft tissue infection and a urological emergency affecting the external genitalia or the perineum. Maggot debridement therapy (MDT) has resurfaced as a result of the steep rise in the emergence of antibiotic-resistant strains of pathogenic bacteria and the need for an effective non-surgical method for wound debridement. This case study reports on a 66-year-old known diabetic who presented to our facility with complaints of scrotal swelling and multiple foul-smelling ulcers around the genital area. There was associated history of pain and fever for twelve-day duration. Sterile first instar larvae of L. sericata were applied using the free-ranged method. Significant decrease in the peri-wound oedema, rapid epithelization and increased vascularity were observed in the patient after the therapy. Maggot debridement therapy was successfully used in the debridement of Fournier's gangrene in Nigeria for the first time, and the clinical outcome is encouraging.

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