Case study · Gangrene with foreign-body contamination and myiasis
Contaminated gangrene with myiasis: urgent wound conversion
A six-month non-healing left-foot wound with gangrene, tobacco contamination and maggot infestation, alongside diabetes, hypertension and COPD.
01
Presentation
02
Clinical care
03
Follow-up
Clinical context
Presentation and assessment.
54-year-old male. The case was clinically complex because of extensive contamination, necrotic tissue and infection risk.
Care pathway documented in this case
- Extensive surgical debridement
- Removal of necrotic tissue and maggots
- Wound irrigation, infection control and bioactive dressing
Outcome & follow-up
Progress is recorded with context.
The presentation records a clean, prepared wound bed within 10 hours, enabling definitive wound care to proceed.
This is a consent-led clinical record. Individual treatment pathways and outcomes vary for every patient.
A qualified clinician must assess an individual wound, circulation, sensation and infection risk before recommending care.
Clinical image record
The documented care journey.
Images are shown as part of the clinical record and should be viewed with respect for patient privacy and context.
A considered next step
Every case needs its own assessment and plan.
This record illustrates one patient journey. Speak with the MMC team to understand what assessment and care may be appropriate for your situation.