Presentation on theme: "AN UNUSAL CASE OF CONDYLOMA ACUMINATA WITH MAGGOTS BY Prof. Renuka Mohanty Dr. S.Mahapatro Dr. S.S.Kar Dr. J.P.Mahapatra HI-TECH MEDICAL COLLEGE."— Presentation transcript:
AN UNUSAL CASE OF CONDYLOMA ACUMINATA WITH MAGGOTS BY Prof. Renuka Mohanty Dr. S.Mahapatro Dr. S.S.Kar Dr. J.P.Mahapatra HI-TECH MEDICAL COLLEGE & HOSPITAL, BHUBANESWAR
CASE HISTORY 2 Yrs Male Child. Wt – 8 kg, SES - Poor C/C Difficulty in defecation since six months. Passage of maggot since 15 days. Mass over perianal region since last 6 months.
HISTORY Antenatal, Natal and Postnatal history - Normal Developmental History - Normal No family history of such attack He was treated with Homeopathic medicine, but in vain.
O/E Wt – 08Kg, Ht – 80Cm. Mild degree of anemia, HR – 100/m,RR – 30 / m, BP – 80/60 mm Hg CVS, P/A, Chest, CNS - Normal LOCAL EXAMINATION OF PERIANAL AREA Cauli flower like mass (5 x 4.5 x 2.5 cm 3 ) Nonfriable, moist, fleshy, almost covering the anal opening. Super infected with Maggots. No bleeding from the mass.
INVESTIGATIONS Hb - 8 gm% DC, TLC, URINE, STOOL - Normal Blood for VDRL – Negative
PATHOLOGY EXAMINATION (BIOPSY ) Consistent with Candyloma Acuminata ( Mucus membrane wart) Acanthotic epidermis with pappillomatosis, hyperkeratosis & parakertosis. Dermal capillary vessels are thrombosed. There were koilocytes.
TREATMENT :- Initially treated with turpentine oil and IV antibiotics (Ampiclox) After 5 days the whole mass was surgically removed. FOLLOW UP :- On 3m /6m /9m follow up there was no reoccurrence of the lesion
DISCUSSION Epidermal manifestation attributed to the epidermotropic HPV HPV type 6 and 11 (90 % of CA) HPV in genital area are mostly sexually transmitted. In paediatric age group > 3yr sexual abuse must be considered. In < 3 yr – by direct manual contact, indirectly by fomites or vertical transmission
HPV Common warts to squamous cell carcinoma of skin. 70 subtypes are recognized.
Perineum around the anus, vagina and urethra, intravaginal and intra-anal area,glans penis, saft, corona, labia. Rarely at conjunctive, gingiva and nasal mucosa, tounge, lip. SITES