Management of Diabetic Infected Ulcer with Maggot Therapy

Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus, often leading to infection, delayed healing, and increased risk of amputation. Conventional treatments may be ineffective due to poor vascularization, antibiotic resistance, and chronic inflammation. Maggot Debridement Therapy (MDT), which uses sterile larvae of Lucilia sericata, has re-emerged as an effective biotherapeutic approach that selectively removes necrotic tissue, decreases bacterial load, and promotes granulation. This case review highlights the successful management of an infected diabetic ulcer with MDT, detailing its mechanisms, clinical outcomes, and integrative potential with modern wound care. Evidence from recent studies supports MDT as a safe, cost-effective, and efficient adjunct to conventional treatments, significantly enhancing healing rates in chronic diabetic wounds.Keywords: Diabetic foot ulcer; Maggot Debridement Therapy; Lucilia sericata; Biological debridement; Biofilm; Vrana Chikitsa; Integrative wound care.