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July 1988

Opportunistic Cutaneous Myiasis

Author Affiliations

Department of Dermatology Olean Medical Group Olean, NY 14760

Arch Dermatol. 1988;124(7):1014-1015. doi:10.1001/archderm.1988.01670070016008

To the Editor.—  The invasion of human or animal tissue by the larvae (maggots) of dipterous flies is known as myiasis. Cutaneous myiasis in man tends to occur in individuals who work in, or travel to, tropical climates and in individuals with poor personal hygiene and open wounds. Several clinical forms have been described, including the furuncular, opportunistic, and creeping myiasis.1,2 Opportunistic myiasis occurs when the flies lay their eggs in open wounds, ulcers, or cavities, and one then usually finds multiple larvae.3-9Therapy consists of three general techniques: mechanical or surgical débridement; application of toxic substances to the larvae, eggs, or both; and techniques producing localized hypoxia to force emergence of the larvae.I present my experience with a severe opportunistic infestation of stasis ulcers in an elderly lady with poor personal hygiene.

Report of a Case.—  An 82-year-old woman was admitted to the hospital for lower

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