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.
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AN UNUSAL CASE OF
CONDYLOMA ACUMINATA WITH MAGGOTS
HI-TECH MEDICAL COLLEGE & HOSPITAL, BHUBANESWAR
He was treated with Homeopathic medicine, but in vain.
Antenatal , Natal and Postnatal history - Normal
Developmental History - Normal
No family history of such attack
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
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.
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
In paediatric age group > 3yr sexual abuse must be considered .
In < 3 yr – by direct manual contact , indirectly by fomites or vertical transmission
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.
With all forms of therapy – 50% reoccur.
So periodic follow up is required.