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Monday, December 9, 2013

Maggot-infested oral cancer wound (Warning: GRAPHIC PHOTOS!)


Poverty and alcoholism are bad enough, but poverty, alcoholism and terminal cancer disease create a devastating combination. While rooting through PubMed Central the other day, I found an article describing the case of a 44-year-old man, dependent on alcohol and tobacco, living in a poor rural area of Brazil. This patient suffered from advanced squamous oral cancer which had invaded his jaw, creating a large, ulcerated necrotic wound. He could not eat normally beause food was expelled from the cancer ulcer, the stench was nauseating and worst of all, the wound was infested with wriggling maggots. 



 Large, foul-smelling, necrotic wound caused by oral cancer that has invaded the neighboring soft tissues and bone.  Image from: Pessoa& Galvão (2011).



Extensive maggot infestation within the wound. 
Image from: Pessoa& Galvão (2011).


Not surprisingly, the patient's mouth hygiene was also poor, with plaque-covered teeth, a bad smell and visible dental caries. Amazingly, his laboratory findings were normal except for a slightly low hematocrit, or volume percentage of red blood cells in blood (34% - the norm for men is 45%).




Poor dental hygiene: plaque, advanced dental caries, bad smell. The cancer wound limits the patient's ability to open his mouth. Image from: Pessoa& Galvão (2011).


All the maggots were manually removed using pincers and the wound cleaned with an aqueous chlorhexidine solution. A nasogastric tube was inserted for feeding because the food was being expelled from the cancer ulcer. Mercifully, the patient died 2 months later because of acute bleeding from the wound.

Squamous cell carcinoma is the most common type of oral cancer. It should be noted that both alcohol use and tobacco use are well-known risk factors for developing this tumor, as well as poor oral hygiene and poor nutrition. Smoking and other tobacco use, in particular, are associated with around 75% of oral cancer cases.


Source: Pessoa L, Galvão V. (2011) Myiasis infestation in advanced oral squamous cell carcinoma. BMJ Case Rep. 2011: bcr0420114124. Published online 2011 July 15. doi: 10.1136/bcr.04.2011.4124

20 comments:

  1. Where is your God now?

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    1. Don't be blaming God wats he done?

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    2. God is dead. Cancer victim I'm afraid. He died some 2000 years ago aparently. Too much wine. ;)

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    3. Why does everyone have to turn a post into a discussion about whether God is real? I mean, come on. *An article on cancer* "How come your GOD let this happen??" *A video on someone hitting a landmine and losing his arms* "Why did GOD let this guy do this??" *A video on someone shooting a bottle rocket* "Why did GOD let that guy get hit in the balls??" Why do you atheists have to be such assholes on the internet, and hate on Christians so much? Seriously.

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    4. Atheists don't believe in the existence of God. As they don't believe that God exists, they also don't believe that he causes cancers- as this would require existing. And atheists do not believe God exists. Existing is also a requirement for drinking, getting cancer, and/or dying. Therefore, an atheist would not believe that God both exists (as is a necessary requirement for a being that exists) and also drinks, gets cancer, and/or dies--all things that require existing. For more clarification on whether or not atheists believe God exists, see the first sentence about atheists (who do not believe in the existence of God) and how they don't believe God exists.

      I just thought I would clarify, as you seem to hold that pesky delusion common to many Christians I've encountered online. You know, the one about how they are constantly being oppressed by cruel atheists who are mad at God? Believing that Jesus is God is a working definition for a Christian. Believing that Jesus is God but also being angry at Jesus doesn't magically make you an atheist (for more clarification on this, see previous paragraph). Unfortunately, this delusion of Christian martyrdom en masse at the hands of cruel atheists seems to take precedent over cruelties that exist outside their imagination-- like the existence of 100s of millions of landmines. Perhaps these Christians justify their disproportionate anxiety because they don't actually believe in the landmines, they are just really, really angry at them.

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    5. You have admitted the existence of God by just saying he does not exist think about that. How can there be a creation without a creator?

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  2. This comment has been removed by the author.

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    Replies
    1. He is in a 3rd world country. What reason do Americans use?

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  3. Nice Info! There are many people who are suffering from cancer in different organ and they take the medication at home so they buy their prescribed medicine through online mode.

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  5. There is no god when people are forced to suffer horrid things like this!!!

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  6. God is not the cause of your problems ..... But when you trust in him, he comes into that problem and turns it around . Let us always try to understand that we humans are the cause of our problems .. Its just like saying "that guy got stabbed while fighting and u say its God's fault.... Was it God that told him to go fight? ". And for the person who said Christ is dead ,you are wrong ... He was raised from death in glory and now living in US believers . God loves you, give ur life to him today and see what he has planned for you . A life free of struggle ,stress,sickness and most importantly an everlasting life. Thanks

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    1. Absolutely true...unfortunately some people need to find themselves in such horrible situations in life so they can then call on Jesus and ask God for help, thats when they decide to acknowledge him. When you are blind, God finds a way to make u see him unfortunately sometimes its through hard lessons...

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  7. God is not dead. We think sin is limited t the commandments, however if you read your bible you will see that God cursed the earth because of the sin committed by mankind. This is a result of that curse. we have humanity to blame not God.

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    Replies
    1. God made us, its God's fault.

      Its the same as releasing a deadly virus into a group of people. Who's fault would it be after the people died? The person who released it, or the virus?

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  8. Whoever doubts Gods existence is completely lost and I pity that person. The meek shall inherit the Earth. Forgive them for they not know what they do...

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  9. God save us from religious nutters...

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  10. I don't know who is crazier, the religious fanatics or the non conformist atheists lol

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