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Botfly myiasis: a case report

Published online by Cambridge University Press:  21 May 2015

Ken G. Ofordeme ,
Linda Papa  and
Daniel F. Brennan
Ken G. Ofordeme
Affiliation:
Department of Emergency Medicine, Emergency Medicine Residency Program, University of Florida Shands Jacksonville, Jacksonville, Fla.
Linda Papa
Affiliation:
Department of Emergency Medicine, Emergency Medicine Residency Program, Orlando Regional Medical Center, Orlando, Fla. Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, Fla.
Daniel F. Brennan*
Affiliation:
Department of Emergency Medicine, Emergency Medicine Residency Program, Orlando Regional Medical Center, Orlando, Fla. Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, Fla. Department of Clinical Sciences, Florida State University College of Medicine, Orlando Campus, Tallahassee, Fla.
*
Department of Emergency Medicine, Orlando Regional Medical Center, 1414 Kuhl Avenue, Orlando FL 32806; Daniel.Brennan@orhs.org

Abstract

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Cutaneous infestation by the human botfly, Dermatobia hominis, results in furuncular myiasis. This condition is endemic to the forested areas of Mexico, Central and South America. However, because of widespread travel, furuncular myiasis has become more common in North America. Misdiagnosis and mismanagement can occur owing to limited awareness of the condition outside endemic areas. To our knowledge, there is only a single report of botfly myiasis in the recent emergency medicine literature, which is surprising since the emergency department is likely to be the place many patients with this condition first seek attention. We present and discuss the case of a 50-year-old man with furuncular myiasis acquired in Belize. Parasitic infestation should be included in the differential diagnosis of a new skin lesion in patients who have travelled to endemic areas.

Keywords

botflymyiasisinfestationfuruncular myiasis
Type
Case Reports • Observation de cas
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 5 , September 2007 , pp. 380 - 382
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

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