Day 1: Diabetic ulcer beneath the left 5th metatarsal
head. 2 mm maggots are applied to the wound, which are barely noticeable in
Day 3: Maggots have grown to about 3 to 4 mm., and are actively
"eating" only the dead, necrotic, infected tissue, but leaving the healthy red
granulation tissue and skin untouched.
Day 3: Close-up of the same wound. Notice how the maggots stay within the
wound. The central part of the wound contains the greatest amount of maggots,
because it is the most infected part. There is a large amount of healthy red
granulation tissue present.
Day 7: After a second application of maggots have been removed, a healthier and
cleaner ulcer is present. Additional treatment will be needed to close the ulcer.
The maggots have cleaned the wound and eliminated the dead tissue within the
wound. Once the wound is clean, it will begin to heal.