A 2-year-old child presented to the A&E department with his parents complaining of a 3-week history of painful, itchy, erythematous nodules on his left foot. The family had recently travelled to Brazil, where they stayed for a month. On their return, they noticed that the child had developed these erythematous lesions.The parents visited their general practitioner (GP), who diagnosed the lesions to be infected insect bites and prescribed a course of antibiotics. The erythema around the lesions improved slightly with antibiotics but the child continued to be distressed, therefore the parents re-visited their GP. The child's mother, a native Brazilian, mentioned to the GP that she and her brother had developed similar nodules as children, and those were due to botfly larvae. However, the GP prescribed a different course of antibiotics and sent the child home. The parents were convinced that the child had a botfly infestation, and frustrated with the lack of targeted treatment, they decided to visit the A&E department. Despite the mother giving the diagnosis and possible treatment options to the clinicians, the child was prescribed a further course of antibiotics and was discharged.Unhappy with their consultation, the parents returned to the A&E department the following day to see a senior clinician. The child was referred to the plastic surgery department. We considered the mother's possible diagnosis of 'botfly larva' infestation and explored the available treatment options on the Internet. We retrieved four botfly larvae from the nodules by applying sterile lubricating gel on the affected area and grasping the larvae with forceps as they emerged from the pores (Figs 1,2). The child was discharged home the same day and was reviewed the following week, by which time the erythema had settled and the nodules had regressed.