Mohan H Kudur, M Pooja, Sudhir Nayak

Department of Dermatology and Venereology, Kasturba Medical College, Manipal, India

A 38-year-old married female presented with pain, swelling and redness of the clitoral area of 5 days duration. Pain was sudden in onset, throbbing in nature and associated with crawling sensation. For the above complaints, she consulted a doctor in her village and was treated with analgesics and antibiotics. The pain increased in spite of 3 days of medication. She consulted the Department of OBG in our hospital, where no gynecological cause for pain was found. She was referred to dermatology to rule out any sexually transmitted infections. There was no past history of significant medical or surgical illness. On examination, the clitoris and surrounding area was erythematous, swollen and extremely tender to touch. No ulcer or vesicle was seen in the genitalia. On pulling the prepucial skin over the clitoris, two maggots were seen in the space between the clitoris and the prepuce [Figure 1]. Both maggots were removed manually using forceps [Figure 2]. The patient was relieved of symptoms immediately after removal of the maggots.

http://www.ijdvl.com/viewimage.asp?img=ijdvl_2010_76_6_712_72458_u1.jpg

http://www.ijdvl.com/viewimage.asp?img=ijdvl_2010_76_6_712_72458_u2.jpg

http://www.ijdvl.com/article.asp?issn=0378-6323;year=2010;volume=76;issue=6;spage=712;epage=714;aulast=Kudur

(http://www.autoadmit.com/thread.php?thread_id=2151843&forum_id=2#22363997)

see ya

(http://www.autoadmit.com/thread.php?thread_id=2151843&forum_id=2#33189413)

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(http://www.autoadmit.com/thread.php?thread_id=2151843&forum_id=2#33189438)