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[Myiasis caused by Dermatobia hominis]

A M Horrevorts1, H Boutkan, P J Breslau

  • 1Afd. Medische Microbiologie, Stichting Samenwerkende Ziekenhuizen (Rode Kruis Ziekenhuis en Juliana Kinderziekenhuis, Den Haag.

Nederlands Tijdschrift Voor Geneeskunde
|May 18, 1996
PubMed
Summary

Myiasis, an infection caused by Dermatobia hominis fly larvae, affects travelers returning from Central America. A simple home treatment of applying petroleum jelly can effectively remove the botfly larva.

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Area of Science:

  • Medical Entomology
  • Tropical Medicine
  • Dermatology

Background:

  • Myiasis is an infestation of the skin by fly larvae.
  • Dermatobia hominis is a botfly species found in Central and South America.
  • Travelers returning from endemic areas are at risk of acquiring this ectoparasitosis.

Observation:

  • Two patients, a 35-year-old woman and a 62-year-old man, presented with symptoms after visiting Central America.
  • Both patients exhibited non-healing insect bites.
  • The clinical presentation mimicked furunculosis, potentially leading to misdiagnosis.

Findings:

  • Myiasis caused by Dermatobia hominis larvae was diagnosed in both patients.
  • The patients had a history of recent travel to Central America.

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  • The ectoparasitosis is endemic to Central and South America.

    • Implications:

    • Early recognition of myiasis is crucial to avoid misdiagnosis.
    • Dermatobia hominis infections require specific diagnostic considerations in returning travelers.
    • A simple and effective treatment involves occluding the lesion with petroleum jelly to facilitate larva extrusion.