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December 18, 1937

MAGGOT THERAPY IN AN INFECTED WOUND IN HEMOPHILIA

Author Affiliations

Boston

From the Thorndike Memorial Laboratory, Second and Fourth Medical Services (Harvard), and the Surgical Research Laboratory, Fifth Surgical Service (Harvard), Boston City Hospital, and the Departments of Medicine and Surgery, Harvard Medical School.

JAMA. 1937;109(25):2055-2056. doi:10.1001/jama.1937.92780510002008a

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Abstract

The treatment of infected wounds in hemophilia is a tedious process requiring caution because of the continual danger of hemorrhage. Certain medications, especially oxidizing agents, are frequently contraindicated because of this danger. Recently we have employed maggots in the treatment of a large infected wound in a severe case of hemophilia. The wound healed rapidly without hemorrhagic complications. The literature does not refer to maggot therapy in hemophilia.

REPORT OF CASE  I. G., a Jewish youth, aged 19, single, admitted to the hospital Jan. 18, 1937, complained chiefly of "swollen knees." The first evidence that he was a "bleeder" occurred at the age of 6 years, when a small cut on the buccal mucous membranes bled continuously for twelve days. The condition was diagnosed as hemophilia at that time. However, aside from a tendency to easy bruising and slightly prolonged bleeding from minor injuries, he remained free of

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