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Dunn TM et al. – The authors present the case of a 55–year–old homeless male who presented with penis and scrotal maggot infestation secondary to genital self–mutilation. The patient gave a history consistent with gender identity disorder and indicated that he was intoxicated during the event. The patient had no history of psychosis. He sought medical attention only after he was no longer welcome on public transportation due to the odor emanating from this infection.

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