title: Maggot debridement therapy: serious bleeding can occur: report of a case.
abstract: Maggot debridement therapy is generally a safe therapy that is typically used as a last resort treatment for debriding wounds in patients with multiple comorbidities. We describe a case of serious bleeding in an 87-year-old woman treated in our wound care center for a mixed arterial-venous ulcer of the right leg. Daily home visits were completed by a wound care nurse, resulting in prompt recognition and management of the bleeding. The patient was transported to hospital via an ambulance, and rapidly stabilized with intravenous fluids and a blood transfusion. She subsequently returned to the home care setting for additional management of her lower extremity wound.
authors.affiliation: Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.
authors.forename: P
authors.initials: P
authors.lastname: Steenvoorde
authors.forename: L P
authors.initials: LP
authors.lastname: van Doorn
mesh_terms: D000369:Aged, 80 and over; D000818:Animals; D003646:Debridement / Q000009:adverse effects / Q000379:methods* / Q000451:nursing*; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007814:Larva; D016896:Treatment Outcome