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Related Experiment Videos

Human botfly infestation presenting as peri-auricular mass.

Marina Boruk1, Richard M Rosenfeld, Richard Alexis

  • 1SUNY Downstate Medical Center/Long Island College Hospital, Department of Otolaryngology, Brooklyn, NY 11201, USA. b_marina@excite.com

International Journal of Pediatric Otorhinolaryngology
|August 23, 2005
PubMed
Summary
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Cutaneous myiasis, a botfly infestation, is a rare cause of pediatric peri-auricular masses. This case highlights the importance of considering parasitic infections in head and neck diagnoses.

Area of Science:

  • Medical Entomology
  • Pediatric Infectious Diseases
  • Dermatology

Background:

  • Peri-auricular masses in children often present diagnostic challenges.
  • Cutaneous myiasis, caused by botfly larvae, is endemic to Central and South America but rarely reported in the United States.
  • Differential diagnosis for pediatric head and neck masses typically includes common bacterial and viral infections, cysts, and tumors.

Observation:

  • A 5-year-old girl presented with a peri-auricular mass.
  • The lesion was initially misidentified as a sparganum parasite.
  • The parasite was definitively identified by the Centers for Disease Control and Prevention (CDC) as a botfly larva (Dermatobia hominis).

Findings:

  • This case represents the first reported instance of cutaneous myiasis occurring in the peri-auricular region.

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  • The botfly larva infestation expanded the known clinical presentations of pediatric cutaneous myiasis.
  • Accurate identification of unusual parasites is crucial for appropriate patient management.

    • Implications:

    • Cutaneous myiasis should be included in the differential diagnosis for new-onset head and neck masses in children, particularly in endemic or returning travelers.
    • Confirmation of unusual parasitic infections by reference laboratories like the CDC is essential for definitive diagnosis and treatment planning.
    • This finding underscores the need for increased awareness of neglected tropical diseases presenting in non-endemic regions.