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Travel-Related Cutaneous Myiasis: A Case Report.

Alessa Z Mendoza1, Sahar Borna1, Olivia A Ho1

  • 1Division of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USA.

Journal of Clinical Medicine
|September 14, 2024
PubMed
Summary
This summary is machine-generated.

A traveler returning from Belize developed a painful skin lesion caused by a botfly larva (Dermatobia hominis). Surgical removal was successful, highlighting the need for awareness of travel-related myiasis.

Keywords:
Dermatobia hominiscutaneous myiasisfuruncular myiasishuman botflymyiasis

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Area of Science:

  • Medical Entomology
  • Dermatology
  • Tropical Medicine

Background:

  • Human myiasis is tissue infestation by fly larvae, often presenting as painful skin lesions.
  • Dermatobia hominis (human botfly) is a common cause in tropical areas like Latin America.
  • Increased international travel leads to more travel-related myiasis cases in non-endemic regions.

Observation:

  • A 69-year-old male presented with a painful knee lesion after returning from Belize.
  • Initial diagnosis was insect bite, but ultrasound revealed a subcutaneous larva.
  • Failed conservative removal led to surgical extraction of the larva.

Findings:

  • Surgical extraction successfully removed the Dermatobia hominis larva completely.
  • Pathological examination confirmed the botfly species.
  • The patient recovered well with no post-operative complications.

Implications:

  • Myiasis should be considered in the differential diagnosis of painful skin lesions in travelers.
  • Healthcare providers need to recognize and treat travel-related diseases like myiasis.
  • Globalization necessitates increased vigilance for imported diseases.