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Document Details :
Title: Een pijnlijk reissouvenir
Author(s): CLAES P, WINTZEN M, PEETERS I, SERMIJN E, DEVIAENE F, WYBO I, LACOR P
Journal: Tijdschrift voor Geneeskunde
Volume: 63 Issue: 17 Date: 2007
A painful souvenir…
We describe a case of multiple lesions of furuncular myiasis in a patient returning from holiday in Senegal. In tropical Africa, most cases of human cutaneous myiasis are caused by larvae of the tumbu fly (Cordylobia anthropophaga), whereas in America the botfly (Dermatobia hominis) is the main perpetrator.
Therapy consists of gently forcing the larva to creep out of its burrow by closing off its air supply with e.g. petroleum jelly. Next the larva can be pulled out alive, using fine-tipped tweezers. Tetanos vaccination should be updated, and appropriate disinfection and wound care installed.
Hints to consider myiasis in a patient presenting one or several furuncular lesions include 1) recent travel to tropical regions and 2) history of persisting boil, with 3) oozing central opening, and 4) perceiving of movement and often lancinating pain with 5) no improvement on antibiotics. Recognition is important to avoid complications and permit correct diagnosis and treatment.