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November 1981

Dermal Myiasis: The Porcine Lipid Cure

Author Affiliations

Bethesda, Md

Arch Dermatol. 1981;117(11):681-682. doi:10.1001/archderm.1981.01650110003001

To the Editor.—  The wide-ranging and cosmopolitan nature of modern air travel requires the physician to be aware of the potential for tropical diseases appearing in the United States. Dermal myiasis, caused by Dermatobia hominis, is a common parasitic disease of South and Central America and is rare in the United States.Human cutaneous myiasis is usually caused by the human botfly, D hominis.1 The diagnosis is often missed, and lesions are treated as furunculosis, unless a high index of suspicion exists.2 We report herein this disease entity and discuss a noninvasive therapeutic approach.

Report of a Case.—  In July 1979, one of us (C.F.W.) was on an expedition to the rain forests of Costa Rica. At that time, he received numerous insect bites on the legs. Two bites persisted on the left leg and became tender and painful. These areas proceeded to develop into tender nodules with

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