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Eosinophilic pleural effusion in cutaneous myiasis
R B Uttamchandani1, L M Trigo, R J Poppiti
1Department of Medicine, Mount Sinai Medical Center, Miami Beach, Fla.
Southern Medical Journal
|October 1, 1989
Summary
A man
Area of Science:
- Parasitology
- Medical Entomology
- Dermatology
Background:
- Recurrent painful subcutaneous nodules and eosinophilia can present diagnostic challenges.
- Eosinophilic pleural effusion may accompany systemic inflammatory responses.
Observation:
- A 54-year-old male presented with migratory subcutaneous nodules and significant blood eosinophilia.
- The patient also exhibited an eosinophilic pleural effusion.
Findings:
- The patient's symptoms were diagnosed as cutaneous myiasis.
- The causative agent was identified as Hypoderma lineatum larvae (cattle botfly).
Implications:
- Cutaneous myiasis should be considered in the differential diagnosis of unexplained subcutaneous nodules and eosinophilia.
- Awareness of dipterous fly larvae infestation is crucial for clinicians managing such cases.