To the Editor.
—As a clinician with considerable personal experience with tumbu fly myiasis while living in Africa during the 1970s, I read with interest the article by Brewer et al.1 The mild lesions reported in that article were nowhere near as extensive as can occur with myiasis. In a description of my experiences with myiasis in Ghana,2 I reported a Canadian child with literally dozens of developing furuncles who was also febrile and irritable. I initially mistook the condition as early chickenpox. The child had been wrapped in a still-damp blanket that had been hung outside to dry.My family members and I have all had this condition on several occasions. I can attest to the fact that this condition is characterized by itching more than the pain described in the article (although lesions are susceptible to irritation from scratching or attempts to express the contents). Typically,
Biggar RJ. Furuncular Myiasis: Alternatives to Bacon Therapy. JAMA. 1994;271(12):901. doi:10.1001/jama.1994.03510360025014