Dermatobia hominis, commonly known as the human botfly, is
native to Tropical America. As such, cutaneous infestation by its developing
larvae, or myiasis, is quite common in this region. The distinct dermatological
presentation of D hominis myiasis allows for its early
recognition and noninvasive treatment by locals. However, it can prove quite
perplexing for those unfamiliar with the lesion’s unique appearance. Common
erroneous diagnoses include the following: folliculitis, benign dermatocyst, and
embedded foreign body with localized infection. We present a patient who
acquired D hominis while she was in Belize. In this report, we
discuss the presentation, differential diagnosis, diagnostic tests, and
therapeutic approaches of human botfly lesion to raise the awareness about human
botfly.