Abstract

A 23-year-old woman presented with large exophytic genital wart arising from perineum, vulva, introitus of the vagina, and inner aspect of thighs. Patient developed severe itching and formication (insect-crawling sensation) in the lesions for past 1 week, though careful examination did not reveal any insects. Considering that the disease was causing psychological stress and physical symptoms, radiofrequency excision was planned. However, during the procedure, several maggots appeared from the crypts. The procedure was abandoned and maggots were removed manually. Subsequently external giant warts were removed using radiofrequency device. There was no recurrence of excised warts during 3 month follow-up. To our knowledge, this is the second reported case of maggots in genital warts.

Keywords: Genital warts, myiasis, radiofrequency excision

How to cite this article:

Dhawan J, Singh S, Gupta S. Insects are crawling in my genital warts. J Cutan Aesthet Surg 2011;4:129-31

How to cite this URL:

Dhawan J, Singh S, Gupta S. Insects are crawling in my genital warts. J Cutan Aesthet Surg [serial online] 2011 [cited 2020 Sep 30];4:129-31. Available from: http://www.jcasonline.com/text.asp?2011/4/2/129/85037

Introduction

Case Report

Figure 1 (a) Giant genital wart before intervention. (b) Intraoperative picture showing maggot. (c) Three months after complete excision using a radiofrequency device



Click here to view

Figure 2: Some of the removed maggots



Click here to view

Discussion

References

1. Garrido-Ríos AA, Sanz-Muñoz C, Miranda-Sivelo A, Miranda-Romero A. Major depressive episode secondary to condylomata acuminata. Gen Hosp Psychiatry 2010;32:446.e3-5.

2. Raj R, Vishnubhatla S, Mehta M, Gupta S. Health related quality of life in Indian patients with three viral sexually transmitted infections - herpes simplex virus-2, genital human papilloma virus, and human immunodeficiency virus. Sex Transm Infect 2011;87:216-20.

3. McGraw TA, Turiansky GW. Cutaneous myiasis. J Am Acad Dermatol 2008;58:907-26

4. Gomes PA, Fukugava MF, Cuce LC. Vulvar myiasis [Portuguese]. J Bras Med 1996;70:106-8.

5. Saleh MS, el Sibae MM. Urino-genitalmyiasis due to Piophila casei. J Egypt Soc Parasitol 1993;23:737-9.

[ PUBMED ] 6. Passos MR, Varella RQ, Tavares RR, Barreto NA, Santos CC, Pinheiro VM, et al. Vulvul myiasis during pregnancy. Infect Dis Obstet Gynecol 2002;10:153-8.

[ PUBMED ] [ FULLTEXT ] 7. Nordlund JJ. Cutaneous ectoparasites. Dermatol Ther 2009;22:503-17.

[ PUBMED ]



Correspondence Address:

Somesh Gupta

Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi 110 029

India

Source of Support: None, Conflict of Interest: None Check 2

DOI: 10.4103/0974-2077.85037





