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Palpebral myiasis.

B K Jun1, J C Shin, J J Woog

  • 1Department of Ophthalmology, School of Medicine, Hanyang University, Seoul, Korea.

Korean Journal of Ophthalmology : KJO
|April 13, 2000
PubMed
Summary
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Ophthalmomyiasis, a rare eyelid infection caused by botfly larvae, can occur in travelers. This case highlights a child

Area of Science:

  • Ophthalmology
  • Parasitology
  • Dermatology

Background:

  • Myiasis, the infestation of human or animal tissue by fly larvae, is geographically concentrated in tropical and subtropical regions.
  • While dermal myiasis is uncommon in the United States, it can affect international travelers.
  • External myiasis in the U.S. is often attributed to the cattle botfly.

Observation:

  • A six-year-old boy presented with a ten-day history of persistent left upper eyelid swelling and erythema.
  • The eyelid swelling was unresponsive to conventional treatments like warm compresses and oral antibiotics.
  • Ocular examination revealed preseptal cellulitis with a draining fistula, from which a botfly larva was protruding.

Findings:

  • A single larva was successfully extracted from the eyelid fistula.

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  • The extracted larva was identified as a Cuterebra larva.
  • Following larva removal, the patient's eyelid edema and erythema completely resolved within one week.
  • Implications:

    • This case underscores the possibility of ophthalmomyiasis, specifically involving the eyelid, even in non-endemic regions like the United States.
    • Early diagnosis and prompt removal of the larva are crucial for successful treatment and complete resolution of symptoms.
    • Physicians should consider myiasis in the differential diagnosis of unexplained eyelid swelling and inflammation, particularly in patients with a history of travel to endemic areas.