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October 2, 1987

Cutaneous Myiasis of the Eyelid due to Cuterebra Larva

JAMA. 1987;258(13):1795-1796. doi:10.1001/jama.1987.03400130109043

HUMAN myiasis is the invasion of the body tissues of man by larvae of flies of the order Diptera. The disease occurs worldwide and many species of flies are involved.1 Occurrence in the United States is infrequent, and human myiasis caused by the highly host-specific botflies is rare.2 We report a case of dermal botfly myiasis of the eyelid due to a Cuterebra larva, which developed after an apparent insect bite occurring remotely over the ipsilateral clavicle. We emphasize the importance of differentiating this condition from the bacterial furuncle that it closely resembles.

Report of a Case  A 28-year-old man was initially seen with a three-week history of a swollen, tender nodule on his right upper eyelid. The patient, who worked as a lumberjack, had no recent history of travel outside the state of Alabama. The patient stated that two weeks before the onset of symptoms, he was