{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:47:22Z","timestamp":1772639242835,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Myiasis has been reported as a complication of fracture treatment with external fixation. Therefore, physicians should be aware of the possible re-emergence of myiasis as a complication of surgery and the use of metal fixators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical presentation:<\/jats:title>\n                    <jats:p>A 45-year-old male, non-diabetic, chronic alcoholic treated with external bone fixation and flap coverage for Gustilo-Anderson type IIIB comminuted fracture of shaft of left tibia and fibula with intact distal neuro-vascular system presented with multiple maggots with foul-smelling discharge from the pin tract. A diagnosis of abscess with pin-tract myiasis was made and managed with wound debridement and complete removal of maggots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We report this rare pin-tract complication to acknowledge how simple precautions, wound care, and avoidance of risk factors play a vital role in preventing such infestations. Therefore, physicians should be aware of the possible re-emergence of myiasis as a complication of surgery and the use of metal fixators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107247","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T12:27:08Z","timestamp":1653395228000},"page":"107247","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Pin-tract myiasis after external bone fixation"],"prefix":"10.1097","volume":"95","author":[{"given":"Nimesh","family":"Lageju","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durga","family":"Neupane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lokesh Shekher","family":"Jaiswal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upama","family":"Phuyal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-94-20260304","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00003086-197310000-00008","article-title":"The prevention of infection in open wounds","volume":"96","author":"Brown","year":"1973","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R2-94-20260304","doi-asserted-by":"crossref","first-page":"299","DOI":"10.2106\/00004623-199072020-00023","article-title":"The management of open fractures","volume":"72","author":"Gustilo","year":"1990","journal-title":"J. Bone Joint Surg"},{"key":"R3-94-20260304","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1038\/sj.sc.3101773","article-title":"Pin-site myiasis: a rare complication of halo orthosis","volume":"43","author":"Park","year":"2005","journal-title":"Spinal Cord"},{"key":"R4-94-20260304","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1089\/sur.2007.045","article-title":"Pin- site myiasis: a rare complication of a treated open fracture of tibia","volume":"9","author":"Paris","year":"2008","journal-title":"Surg. Infect"},{"key":"R5-94-20260304","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1016\/j.trstmh.2008.05.011","article-title":"Maggot infestation (myiasis) of external fixation pin sites in diabetic patients","volume":"102","author":"Verettas","year":"2008","journal-title":"Trans. R. Soc. Trop. Med. Hyg"},{"key":"R6-94-20260304","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1093\/clinids\/14.1.366","article-title":"Wound myiasis caused by Cochliomyia hominivorax","volume":"14","author":"Konkol","year":"1992","journal-title":"Clin. Infect. Dis"},{"key":"R7-94-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R8-94-20260304","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00005373-199508000-00029","article-title":"Unreamed interlocking nail versus external fixator for open type III tibia fractures","volume":"39","author":"Tu","year":"1995","journal-title":"J. Trauma"},{"key":"R9-94-20260304","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1136\/emj.14.3.179","article-title":"Dermatobia hominis in the accident and emergency department: \u201cI've got you under my skin\u201d","volume":"14","author":"MacNamara","year":"1997","journal-title":"J. Accid. Emerg. Med"},{"key":"R10-94-20260304","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1001\/archinte.160.13.2004","article-title":"Wound myiasis in urban and suburban United States","volume":"160","author":"Sherman","year":"2000","journal-title":"Arch. Intern. Med"},{"key":"R11-94-20260304","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1128\/CMR.00010-11","article-title":"Myiasis","volume":"25","author":"Francesconi","year":"2012","journal-title":"Clin. Microbiol. Rev"},{"key":"R12-94-20260304","first-page":"47","article-title":"\u2018Flies in the flesh': a case report and review of cutaneous myiasis","volume":"55","author":"Kpea","year":"1995","journal-title":"Cutis"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122200493X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122200493X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:04:40Z","timestamp":1772618680000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107247"}},"subtitle":["A case report and review of literature"],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107247","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}