Abstract
Maggot therapy is a recognized treatment modality of acute and chronic wounds that should be applied by specialist healthcare professionals. Complications if this treatment is uncontrolled can have a fatal result, as we report in this 80-years-old Asian man that presented to our Accident & Emergency with signs of severe septic shock, hypothermia, hypovolaemia and bradycardia with extensive necrotic lesions over his extremities. Plastic bags containing maggots were found covering these lesions where the patient had introduced them himself to treat his necrotic ulcers. Admission blood cultures grew Myroides odoratus. He was commenced on empirical intravenous (IV) Piperacillin-Tazobactam, to which the organism was subsequently found to be susceptible. Despite optimal supportive measures his condition failed to improve, and he succumbed on the day after admission.
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