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Cutaneous myiasis
Aleksandra Krajewski1, Brian Allen, Diane Hoss
1Division of Plastic Surgery and Center for Immunotherapy, University of Connecticut School of Medicine, Farmington, CT 06030-1601, USA.
Abstract:
Cutaneous myiasis is a unique disease, endemic in tropical areas, and uncommon in the Western world, making its diagnosis difficult for physicians that are unfamiliar with the disease process. Larvae of a two-winged fly are inoculated through normal skin by a mosquito bite. The larvae grow in the subcutaneous tissues, feed off the surrounding tissues and develop into a fly. A patient with a seemingly commonplace cutaneous lesion which was a harbinger of a much more sinister, unique disease process, is presented. Salient features that characterise these lesions, the difficulty in accurate (and timely) diagnosis, treatment and a review of the literature are discussed with the aim of overcoming limitations of diagnosis and management.
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