Furuncular myiasis for the Western dermatologist: treatment in outpatient consultation

Blaizot, Romain; Vanhecke, Christophe; Gall, Philippe; Duvignaud, Alexandre; Receveur, Marie‐Catherine; Malvy, Denis

doi:10.1111/ijd.13815

Cited by 11 publications

(11 citation statements)

References 13 publications

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“…This method should not be restrictive because this may asphyxiate the larva before it is able to migrate out of the skin. If occlusion fails, local anaesthetic can be administered and an incision made to widen the punctum and remove the maggot, followed by primary wound closure 7. The larva should not be forcibly removed through the central punctum because its tapered shape with rows of spines and hooks anchor it to the subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 99%

Rare cutaneous myiasis of the face due to Lund’s fly (Cordylobia rodhaini) in a British traveller returning from Uganda

et al. 2019

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We present a rare cause for cutaneous furuncular myiasis in a 55-year-old British traveller returning from Uganda. Initially presenting with what appeared to be a cellulitic furuncle on her forehead, she returned to the emergency department 3 days later with extensive preseptal periorbital swelling and pain. Occlusive treatment with petroleum jelly was applied and one larva manually extracted and sent to London School of Tropical Medicine for examination. It was identified as Lund’s Fly (Cordylobia rodhaini), a rare species from the rainforests of Africa with only one other case reported in the UK since 2015. Ultrasound imaging identified another larva, necessitating surgical exploration and cleaning. The lesion subsequently healed completely and the patient remains well.

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Section: Discussionmentioning

confidence: 99%

Rare cutaneous myiasis of the face due to Lund’s fly (Cordylobia rodhaini) in a British traveller returning from Uganda

et al. 2019

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“…There are several treatment options: larva asphyxiation by occlusion, direct extraction of the larva, and surgical removal (Blaizot et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Cutaneous myiasis in a traveler returning from Argentina

Tullio

Mandel

Miglietta

et al. 2019

Dermatologic Therapy

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Myiasis is a common travel‐associated dermatosis. We describe a 52‐year‐old Italian man who acquired Dermatobia hominis when bitten by a mosquito during a visit to Argentina. He had a painful nodular lesion on the left cheek that had been present for about 3 weeks. The complete removal of the larva is the goal of medical treatment. Prescription of antibiotics to avoid secondary infections is not recommended. For psychological reasons and due to the failure of previous therapies, the lesion was excised. Travelers to endemic areas should be informed of preventive measures to reduce mosquito bites and transmission of the infestation.

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“…Diagnosis is primarily clinical and often strengthened by the travel history (McGraw & Turiansky, ). Dermoscopy is a useful diagnostic tool and can be performed after a few hours of occlusion, which forces the larva to make surface (Blaizot et al, ). Typical aspects include: breathing spiracles looking like bird's feet ; a creamy body surrounded by black dots shaped as a thorn crown ; and a bubbling as the larva breathes.…”

Section: Myiasismentioning

confidence: 99%

“…Lidocaine or liquid nitrogen can be used both to paralyze the larva and anesthetize the lesion. Secondly, a surgical excision with a scalpel or a punch biopsy might be necessary to remove the whole larva (Blaizot et al, ). Adjunctive ivermectin treatment can be considered when extraction may have been incomplete (Blaizot et al, ).…”

Section: Myiasismentioning

confidence: 99%

Travelers’ tropical skin diseases: Challenges and interventions

Cunha

Flora

Kroumpouzos

2018

Dermatologic Therapy

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Tropical regions receive a significant part of the traveling population. It is very important that health professionals are familiar with the main tropical skin diseases and able to advice patients appropriately. This article reviews the main tropical diseases of travelers, with an emphasis on diagnosis, management, and prevention. Among others, cutaneous larva migrans, myiasis, tungiasis, Chagas disease, Dengue fever, African trypanosomiasis, filariasis, and leishmaniasis are discussed. Increasing awareness among travelers and health care professionals can help reduce morbidity and mortality. Continued research on new drugs and vaccines is needed to reduce the risks of tropical diseases.

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Furuncular myiasis for the Western dermatologist: treatment in outpatient consultation

Abstract: The diagnosis of furuncular myiasis requires only clinical skills and basic knowledge of life cycles. The treatment varies slightly depending on the species involved but is achievable in outpatient consultation and does not require occlusive dressing.

Cited by 11 publications

References 13 publications

Rare cutaneous myiasis of the face due to Lund’s fly (Cordylobia rodhaini) in a British traveller returning from Uganda

Rare cutaneous myiasis of the face due to Lund’s fly (Cordylobia rodhaini) in a British traveller returning from Uganda

Cutaneous myiasis in a traveler returning from Argentina

Travelers’ tropical skin diseases: Challenges and interventions

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