Live Maggots in Perineum

Introduction: Perineal myiasis is a rare pathology and is associated with poor hygiene. It arises from invasion of body tissues of cavities of living animals by maggots or larvae of certain dipterian flies. It is mostly reported in developing countries and in the tropics. Case Report: We hereby report a rare case of perineal myiasis in a 43 yrs educated, middle class female with extensive necrotic lesion burrowing into the labia major through which numerous live maggots (larvae) were seen emerging out and discuss the managements of the same. Management: In the present patient, debridement was done under G/A with use of turpentine oil along with copious irrigation with normal saline and provide one iodine followed by mechanical removal of maggots, and antibiotic coverage with amoxicillin was used for the treatment.