Michelle Butler, 20, is facing charges after nurses found maggots in her 10-month old baby’s diaper.

The South Carolina mother took her sick baby to a neighbor’s home, who immediately noticed that the child had a fever and was tugging on his ear. After telling Butler that the baby needed medical attention, the neighbor called 911. Butler said that she stopped giving her baby his medicine because she accidentally spilled it.

A police officer accompanied the baby to the emergency room and when the nurses removed his diaper several maggots fell out. Police subsequently checked Butler’s apartment, discovering baby essentials such as food and formula amidst extreme filth.