A Case of Cutaneous Myiasis Due to <i>Dermatobia </i><i>hominis </i>

DOI

Bibliographic Information

Other Title
  • ヒトヒフバエによる皮膚蠅症の 1 例

Search this article

Abstract

<p>A 17-year-old man with a furuncle-like lesion brought in a maggot, which had emerged from an eruption on his chest. The patient had previously visited Placencia in Belize, Central and South America and stayed there for about a month. Mosquitoes and other insects had often bitten the patient in the jungle or at the coast during his stay. He rst noticed an itchy exanthema on the left side of his chest four days before his return to Japan, and it persisted. Two weeks after the appearance of the skin eruption, he experienced severe pain at the eruption site for a few days, and a small stula appeared at the center of the lesion with some effusion. Five weeks after the appearance of the eruption, a maggot emerged from it when he pressed the surrounding area. It was identied as a second instar larva of Dermatobia hominis by its appearance and the body length, and we diagnosed this case as cutaneous myiasis. Dermatobia hominis only lives in Central and South America. The larva grows in the skin of mammalian hosts, emerges spontaneously and eventually the wound heals. Since it causes pain in the host, several treatment strategies have been suggested : expulsion, surgical removal or extraction of the lesion, and squeezing out the larva by blocking the larval air supply. The last approach has often been practiced by the local people in the endemic areas. It is predicted that both the opportunities for travel abroad and the diversity of destinations will continue to expand rapidly. When a refractory furuncle-like lesion is observed, the patient should be asked about their travel history and the possibility of cutaneous myiasis should be considered. Skin Research, 17 : 313-316, 2018 </p>

Journal

  • Hifu no kagaku

    Hifu no kagaku 17 (6), 313-316, 2018

    Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association

Details 詳細情報について

Report a problem

Back to top