[Migrating subcutaneous myasis with systemic manifestations caused by gadfly larvae]

Area of Science:

• Veterinary Dermatology
• Parasitology
• Medical Entomology

Background:

• Cutaneous myiasis presents a diagnostic challenge, particularly in its recurrent forms.
• Hypoderma bovis larvae are known to cause myiasis in livestock, with rare human cases reported.

Observation:

• A 4-month recurrent course of cutaneous myiasis caused by Hypoderma bovis larvae was observed.
• Clinical manifestations included migrating subcutaneous lesions, toxicoallergic reactions, and episodes of syncope.

Findings:

• This case highlights the complex clinical presentation of human Hypoderma bovis myiasis.
• The study demonstrates the successful chemotherapy of cutaneous myiasis using oral ivermectin combined with topical aversectin ointment.

Implications:

• This therapeutic approach offers a potential new treatment strategy for human cutaneous myiasis.
• Further research is warranted to establish the efficacy and safety of this combination therapy in larger patient cohorts.