Exotic human myiasis

Human myiasis may be caused by several species of dipterous larvae. It is widespread in the tropics and subtropics particularly in Africa and the Americas and can occur in other parts of the world although less frequently. Larval infestation mostly affects the skin but can also involve wounds, bones, intestines and body cavities. Diagnosis is mainly clinical. The rule of treatment is to remove the larvae and treat any associated infection. Frequent international travel, immigration and rising global trade increase the likelihood of imported infestations. It is therefore vital that physicians in non-endemic areas are aware of clinical symptoms, exposure and presentation of this condition, as early recognition would prevent any costly, inappropriate treatments or complications. We report a case of imported human myiasis and present a literature review of human myiasis.