Discussion
Management of DFU is so challenging that a monotherapy strategy for
treatment may not be very useful. Some treatments are more common
including: necrotic tissue debridement, infection control of the area
with systemic antibiotics, reducing the pressure on the area, and
revascularization (1).
Maggot therapy is believed to be an effective treatment as a debridement
therapy in chronic wounds such as DFU. So, in Germany maggot therapy is
offered to patients as a useful treatment (2, 3). But in this case not
only maggot therapy was not useful but also worsened the ulcer and
obligated a debridement therapy.
Contraindications of maggot therapy are listed below:
- Very dry wound,
- Open wounds into the abdominal cavity,
- Pyoderma gangrenosum in patients with immunosuppressive therapy and
septic arthritis
- Wounds heavily contaminated with pseudomonas aeruginosa (4).