title: Use of maggot therapy for treating a diabetic foot ulcer colonized by multidrug resistant bacteria in Brazil.
abstract: This study reports the efficacy of maggot therapy in the treatment of diabetic foot ulcer infected with multidrug resistant microorganisms. A 74 year old female patient with diabetes for over 30 years, was treated with maggot therapy using larvae of Chrysomya megacephala. The microbiological samples were collected to evaluate aetiology of the infection. The therapy done for 43 days resulted in a reduction of necrosis and the ulcer's retraction of 0.7 cm [2] in area. Analysis of the bacteriological swabs revealed the presence of Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa. Further studies need to be done to confirm the role of maggot therapy in wound healing using a large sample and a proper study design.
authors.forename: Marilia A R Q
authors.initials: MA
authors.lastname: Pinheiro
authors.forename: Julianny B
authors.initials: JB
authors.lastname: Ferraz
authors.forename: Miguel A A
authors.initials: MA
authors.lastname: Junior
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Moura
authors.forename: Maria E S M
authors.initials: ME
authors.lastname: da Costa
authors.forename: Fagner J M D
authors.initials: FJ
authors.lastname: Costa
authors.forename: Valter F A
authors.initials: VF
authors.lastname: Neto
authors.affiliation: Laboratory of Mycobacteria, Department of Microbiology and Parasitology, Biosciences Center, Federal University of Rio Grande do Norte, Natal/RN, Brazil.
authors.forename: Renato M
authors.initials: RM
authors.lastname: Neto
authors.forename: Renata A
authors.initials: RA
authors.lastname: Gama
mesh_terms: D000368:Aged; D000818:Animals; D001938:Brazil; D017719:Diabetic Foot / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D004175:Diptera; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000382:microbiology / Q000628:therapy*; D007711:Klebsiella pneumoniae / Q000472:pathogenicity; D007814:Larva; D011550:Pseudomonas aeruginosa / Q000472:pathogenicity; D014456:Ulcer / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D014945:Wound Healing