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

Mustapha Ahmed Yusuf; Bashir Mohammad Ibrahim; Abdullahi Abubakar; Sani A Aji; Firdausi Abubakar; Mohammed Kabir Abubakar; Abdulrahman Abba Sheshe; Shamsuddeen Muhammad; Mustapha Ibrahim; Usman Bello; Muhammad Adamu Abbas; Abdullahi Muhammad; Kabir Musa Adamu

doi:10.4103/njbcs.njbcs_42_22

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CASE REPORT

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

Mustapha Ahmed Yusuf¹, Bashir Mohammad Ibrahim², Abdullahi Abubakar³, Sani A Aji², Firdausi Abubakar⁴, Mohammed Kabir Abubakar², Abdulrahman Abba Sheshe², Shamsuddeen Muhammad², Mustapha Ibrahim², Usman Bello², Muhammad Adamu Abbas⁵, Abdullahi Muhammad², Kabir Musa Adamu²
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
Nigeria

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/njbcs.njbcs_42_22

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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