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Botfly myiasis: case report and brief review.
C E Sampson1, J MaGuire, E Eriksson
1Brigham & Women's Hospital/Harvard Medical School, Division of Plastic Surgery & Internal Medicine, Boston, MA 02115, USA.
Annals of Plastic Surgery
|February 24, 2001
Summary
Furuncular myiasis, caused by the human botfly, presents as a painful lesion. A novel surgical approach ensures complete removal of the intact larva, preventing complications from retained fragments.
Area of Science:
- Medical Entomology
- Dermatology
- Surgical Pathology
Background:
- Furuncular myiasis is a subcutaneous infestation by Dermatobia hominis (human botfly) larvae.
- Cases are increasing in the US due to travel to endemic regions of Mexico, Central, and South America.
- Surgical excision is the primary treatment, but larval damage during removal can occur.
Observation:
- A patient presented with a furuncular myiasis lesion.
- A novel surgical technique was employed for larval extraction.
- This method aimed to remove the larva and its burrow intact.
Findings:
- The described novel approach successfully ensured the removal of the intact Dermatobia hominis larva.
- Complete larval extraction prevents complications associated with retained larval fragments.
- This technique addresses a gap in the surgical literature regarding myiasis treatment.
Implications:
- This technique offers a refined method for treating furuncular myiasis.
- Improved surgical outcomes can be achieved by preventing larval fragmentation.
- Enhanced awareness in surgical literature is needed for this condition.