Myiasis is a parasitic infection caused by dipterous fly larvae that can affect various organs in both human and animals. Cutaneous myiasis is the most common type of myiasis and can be classified into three categories, localized furuncular myiasis, migratory myiasis, and wound myiasis. One of the risk factors for myiasis is seborrheic dermatitis. The definitive treatment for the condition requires complete extraction of larvae, in combination with oral therapy, and localized occlusion to promote hypoxia. This paper reports a case of a 12-year-old girl with furuncular cutaneous myiasis associated with seborrheic dermatitis on the occipital region that showed significant improvements after manual extraction of larvae after local anesthesia injection of 2% lidocaine on the base of the lesion, in combination with oral and topical therapies
BACKGROUND: Chancroid is a sexually transmitted disease caused by the Gram-negative bacteria, Haemophilus ducreyi. In endemic areas, the ratio of men to women is 3:1. Clinical symptoms of chancroid manifest as genital ulcers which are generally painful and tender with irregular edges. The base of the ulcer can be covered with yellow or gray necrotic purulent exudate, and often bleeds when rubbed. Vaginitis is an inflammation of the vagina and can be accompanied with symptoms such as vaginal discharge, complaints of itching, and pain. The most common cause is an imbalance of bacteria or normal flora in the vagina. CASE REPORT: We report a case of chancroid in a 20-year-old woman in conjunction with vaginal candidiasis that was later identified as Candida glabrata. The patient was then treated with a combination of oral antibiotics and antifungals, as well as normal saline dressing that then showed significant clinical improvements. CONCLUSION: Chancroid is a sexually transmitted disease that is still prevalent especially in developing countries. Diagnosis of the disease is often made clinically and should be promptly treated to prevent further complications. Coexistence of chancroid with vaginal candidiasis is rare, and combination of antibiotics and antifungals, as well as normal saline dressing proved to be effective in treating the condition.
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