A case of ingrown toenail with maggots: A personal experience

  • Arshad M Malik Department of Surgery, Karachi Institute of Medical Sciences, Karachi, Pakistan
  • Manal Arshad Malik Department of Surgery, Liaquat National Medical College, Karachi, Pakistan
Keywords: Ingrown toenails, infection, complications, maggots, ambulatory surgery, dead tissue


The invasion of the skin and sub-cutaneous tissues with larvae (Maggots) is not infrequently seen in humans. It is basically the flies which feed on living tissues and lay eggs which develop into maggots and start eating the dead tissue. We present a very unusual case of a 35-year-old, mentally retarded man who presented with infected ingrown toenail. The patient had inborn deformity and crowding of the toes. On examination a large number of maggots were found crawling over and coming out from deeper tissues. The wound was explored and treated by excising the tissue alongside the nails with nail removal at the same time. The nail plate excised on the sides and maggots cleared.


Download data is not yet available.


Reyzelman AM, Trombello KA, Vayser DJ, Armstrong DG, Harkless LB. Are antibiotics necessary in the treatment of locally infected ingrown toenails?. Archives of family medicine. 2000; 9(9):930-32.

DOI: https:doi.org/10.1001/archfami.9.9.930

Dadaci M, Ince B, Altuntas Z, Kamburoglu HO, Bitik O. Skin bridging secondary to ingrown toenail. Pak J Med Sci 2014; 30(6):1425-1427.

DOI: https:doi.org/10.12669/pjms.306.5790

Haneke Controversies in the treatment of ingrown nails. Dermatology Research and Practice. 2012,

DOI: https://doi.org/10.1155/2012/783924

R. D. Gillette, Practical management of ingrown toenails. Postgrad Med. 1988: 84(8)145-58.

DOI: https://doi.org/10.1080/00325481.1988.11700517

Murtagh J. Patient education. Ingrowing toenails. Aust Fam Physician. 1993; 22(2):206.

Haneke E. Nail surgery. Clin Dermatol. 2013; 31(5):516-25.

DOI: https:doi.org/10.1016/j.clindermatol.2013.06.012.

Chen RC, Blume PA. Regional anesthetic techniques for foot surgery. In Essentials of Regional Anesthesia. Cham: Springer; 2018, 375-85.

Bryant A, Knox A. Ingrown toenails: the role of the GP. Aust Fam Physician. 2015; 44(3):102-5.

Heidelbaugh JJ, Lee H. Management of the ingrown toenail. Am Fam Physician. 2009; 79(4):303-8.

Geizhals S, Lipner SR. Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment. Dermatol Online J. 2019; 25(9):1-8.

How to Cite
Malik A, Malik M. A case of ingrown toenail with maggots: A personal experience. JSTMU [Internet]. 9Aug.2020 [cited 22Oct.2020];3(1):56 -57. Available from: https://j.stmu.edu.pk/ojs/index.php/jstmu/article/view/74