A case of myiasis in the post-excisional wound of a malignant lesion managed by Ayurveda

Parasitic infestation of the body by dipterous larvae belongs to the most undesirable events in patients with post-excisional wounds after malignant skin lesions. wound myiasis is more common in tropical regions. We reported a case of 55 years old female with wound myiasis with a history of surgical removal of non-melanoma skin cancer – basal cell carcinoma a local skin lesion approximately 0.5 -1 cm 2 sized from the left temporal region 15 days back under local anaesthesia. A case treated with maggots’ extraction, Triphala kwatha (decoction of Terminalia bellerica, Terminalia chebula and Emblica officinalis) wound irrigation, and the local application of Katupilla (Securinega leucopyrus (Willd.) Muell) oil. Adjuvant ayurveda medicaments like Pathyadi Kwatha, Avipatikar powder and Haritaki (Terminalia chebula Retz.) powder were given during treatment. A case was completely cured in 50 days. Triphala Kwatha wound irrigation ceases the growth of maggots and microbes also provides autolytic wound debridement. Katupilla enhances wound healing. Adjuvant medicament has Pita Shamaka (Pitta eliminate), Anuloman (regulating physiological movement) and Shothahar (anti-inflammatory) properties.