ULTRASONOGRAPHY OF FURUNCULAR CUTANEOUS MYIASIS: DETECTION OF DERMATOBIA HOMINIS LARVAE AND TREATMENT

Cutaneous Myiasis of the Breast: Mammographic and US Features—Report of Five Cases

“…In contrast, US demonstrated the characteristic appearance of a hyperechoic mass representing the larva surrounded by a hypoechoic halo representing the cavity, as previously illustrated in the literature (11). However, the first cases of breast myiasis made us aware of this condition so that myiasis was included in the differential diagnosis in subsequent cases.…”

Myiasis

“…The examination reveals a central opening surrounded by dilated blood vessels and a yellowish structure with black barblike spines (27). Ultrasound can be very useful to confirm a case of furuncular myiasis and also for the complete removal of the larvae (299,334). A well-defined highly echogenic area surrounded by a hypoechoic area, the presence of segmentations on longitudinal sections, and distal shadowing are features of D. hominis in an ultrasound.…”

Real‐time high‐frequency colour Doppler ultrasound detection of cutaneous Dermatobia hominis myiasis

“…4 Ultrasound has been used for diagnosing the soft tissue presence of Dermatobia hominis larvae in case reports using lower frequency probes (≤10 MHz). [5][6][7][8] However, colour Doppler ultrasound machines with ≥15 MHz probes seem to show images with better definition as well as demonstrate regional vascularity in real time. 4,9 We studied the colour Doppler ultrasound images and videos of nine clinically and surgically confirmed lesions of Dermatobia hominis cutaneous larva infestation present in eight patients (5 male/3 female; age range: 6-82 years; mean age: 37 years, SD 25).…”

“…4,18 3 When the LCMN involves both breasts, the Baykal phenomenon may be noted either on both breasts 2,7,8,10,11,13,14 or on one breast only. 5,6,9 (a) (b) (c)…”