Abstract
We report an extremely rare case of an ingrown nail with subungual myiasis on the same toe (was documented with videos) in a female patient with no previous history of travel, trauma, contact with animals, immunosuppressive treatment, or psychiatric disorders.
Keywords: larvae, myiasis, parasitism
Myiasis is defined as the invasion of larvae flies. Despite cutaneous myiasis being considered one of the most common manifestations, the subungual location of myiasis infestation has been extremely rarely reported in the literature.
1. CASE PRESENTATION
A 35‐year‐old female patient presented with a complaint of pain in her left hallux, with an emission of foul‐smelling from it.
Clinical examination revealed an ingrown nail with periungual erythema without any systemic symptoms.
During the avulsion of the nail plate, we noticed numerous larvae on the nail bed and a newly formed nail (Figure 1; Videos S1 and S2).
FIGURE 1.
(A) Larvae were noticed (arrow) after extraction of the affected nail plate. (B) The extracted larvae from the lesion.
The patient lives in an urban region and had no previous history of travel, trauma, contact with animals, immunosuppressive treatment, or psychiatric disorders. Nail avulsion was performed. The larvae were extracted with forceps, followed by surgical withdrawal of the underlying nail.
Based on the laboratory report and the clinical examination, the diagnosis of subungual myiasis was made.
2. DISCUSSION
The subungual location is a very rare area to be invaded by parasites. 1 Subungual myiasis cases have been extremely rarely reported worldwide. 1 Immunodeficiency, mental illness, lack of hygiene, and other risk factors increase the possibility of myiasis. 1 However, our patient had no risk factors related to subungual myiasis.
AUTHOR CONTRIBUTIONS
Jacob Al‐Dabbagh wrote and revised the manuscript. Reem Hatem was the mentor and supervisor.
FUNDING INFORMATION
The authors received no financial support for this publication.
CONFLICT OF INTEREST
The authors have no conflicts of interest to declare.
CONSENT
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
Supporting information
Video S1
Video S2
ACKNOWLEDGMENTS
None.
Hatem R, Al‐Dabbagh J. Ingrown nail with subungual myiasis on the same toe: A rare case presentation. Clin Case Rep. 2022;10:e06678. doi: 10.1002/ccr3.6678
DATA AVAILABILITY STATEMENT
All data are included in the article.
REFERENCE
- 1. Jo UH, Shin JH, Jo SJ, Park H. Two cases of subungual myiasis in predisposed patients. JAAD Case Rep. 2021;14:120‐123. doi: 10.1016/j.jdcr.2021.06.020 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Video S1
Video S2
Data Availability Statement
All data are included in the article.