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MAGGOTS IN TRACHEOSTOMY WOUND #TheyNastyYall

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A young farmer was admitted in ICU for OP compound poisoning.he was on ventilator for several days so tracheostomy was done.he recovered after few days and decannulation was planned.but the patient absconded from the hospital with tracheostomy tube in situ.he came after 9 months to casuality with history of pain swelling and foul smelling discharge from the tracheostoma wound .history revealed that the patient did not consult any medical personnel after absconding and has been with the tracheostomy tube without cleaning or dressing the wound.careful examination showed maggots all around the tracheostoma.he was admitted and went home with a healed decannulation after one month.maggots are common in nasal cavity and in the ear canal.this was a rare case with maggots presenting in an unusaual site.

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