Myiasis caused by larvae of human botfly
Myiasis is defined as an infection of a fly larva (maggot) in human tissue. The infection is common in tropical and subtropical areas. The infection is very rare in the United States and people are typically infected when they travel to tropical areas in Africa and South America. People travelling with open and untreated wounds are at a higher risk of developing the infection. Treatment includes removing the larvae surgically by a medical professional.
This article describes the case of a 62-year-old female patient who presented to the dermatology clinic with complaints of pruritic draining nodules on her back and buttocks. كيفية ربح المال She also complained of a biting sensation that got worse during the night.
The patient’s history revealed that she had travelled to Columbia two months earlier, where she recalled getting bit by several mosquitoes.
Prior to the current presentation, she was evaluated at a different clinic where doctors treated her with oral amoxicillin–clavulanate and doxycycline. However, the lesions showed no improvement. Physical examination was consistent with six erythematous nodules with a central punctum and clear drainage. Larval movement was also observed in the nodules.
Doctors anesthetized the lesions with lidocaine and the larvae were removed. Six larvae of the human botfly were extracted from the nodules. رهان مباشر Myiasis is an infestation of the skin by maggots of a variety of fly species. The most common flies that cause human infestation are Dermatobia hominis (human botfly), as in this case and Cordylobia anthropophaga (tumbu fly). Although myiasis is uncommon in the United States, it is important to consider that these cutaneous lesions may develop in a returning traveler. موقع 1xbet The lesions showed partial improvement at 1-week follow-up and the patient reported a 70% reduction in her symptoms.
References
Myiasis from Larvae of Human Botfly https://www.nejm.org/doi/full/10.1056/NEJMicm2101473
