{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:18:18Z","timestamp":1777915098788,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Complex wounds are common complications in hospice and palliative medicine (HPM), especially in patients with aggressive malignancies. Myiasis, or an infestation of maggots, is a rare but significant complication of such wounds. While uncommon in the United States, many HPM patients have multiple risk factors and comorbidities that increase their vulnerability to this condition. Currently, there are no standard diagnostic or treatment guidelines for wound myiasis. In addition, common management strategies may not be easily accessible in HPM settings. We present this case of a patient with malignant squamous cell carcinoma of the neck complicated by myiasis while in hospice, and our experience diagnosing and managing her infestation. We also reflect on special considerations for HPM patients when addressing the physical and psychological symptoms of wound myiasis.<\/jats:p>","DOI":"10.1089\/jpm.2020.0441","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T23:33:17Z","timestamp":1604014397000},"page":"797-800","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of Wound Myiasis in the Hospice and Palliative Medicine Setting"],"prefix":"10.1177","volume":"24","author":[{"given":"Gavisha","family":"Waidyaratne","sequence":"first","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiwei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"O'Neil","sequence":"additional","affiliation":[{"name":"Arbor Hospice and Northstar Palliative Care, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Marks","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9.285"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00010-11"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.04.024"},{"key":"e_1_3_3_5_2","first-page":"27","article-title":"Maggots: A neglected problem in palliative care","volume":"10","author":"Sowani A","year":"2004","unstructured":"Sowani A, , Joglekar D, , Kulkarni P: Maggots: A neglected problem in palliative care. 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