title: Orbital myiasis complicating squamous cell carcinoma in xeroderma pigmentosum.
abstract: Ophthalmomyiasis is a rare infection seen in susceptible individuals. We report a case of orbital myiasis in squamous cell carcinoma (SCC) in a patient of xeroderma pigmentosum. On presentation, reddish brown ulcerated mass with numerous maggots in orbit were seen. Computed tomography scan showed the presence of soft tissue lesion without any bony destruction. Following debridement, emergency exenteration with sacrifice of eyelid skin was performed. The diagnosis of SCC was confirmed on histopathologic evaluation. The maggots belonged to family Calliphoridae and secondary bacterial infection with Klebsiella organism was identified. Management issues included extensive involvement requiring exenteration, non-availability of skin graft, delayed secondary healing and recurrence of pigmented lesions in skin lining of orbit. The skin grafting was avoided as it can harbour the neoplasm.
authors.affiliation: Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India. drskamal@gmail.com
authors.forename: Saurabh
authors.initials: S
authors.lastname: Kamal
authors.forename: Sonam Angmo
authors.initials: SA
authors.lastname: Bodh
authors.forename: Sushil
authors.initials: S
authors.lastname: Kumar
authors.forename: Ruchi
authors.initials: R
authors.lastname: Goel
mesh_terms: D000818:Animals; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D003646:Debridement; D004175:Diptera; D015353:Eye Enucleation; D015822:Eye Infections, Parasitic / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D006801:Humans; D008297:Male; D009198:Myiasis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014983:Xeroderma Pigmentosum / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D055815:Young Adult