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October 6, 1969

Myiasis of the Scalp From Dermatobia hominis

Author Affiliations

Mt Sinai Hospital Services Elmhurst, NY

JAMA. 1969;210(1):133. doi:10.1001/jama.1969.03160270095025

To the Editor:—  Human infestation by the larvae of Dermatobia hominis (the warble or botfly) has long been recognized as one of the common parasitic diseases of Central and South America.1 The following case is presented as a reminder that cutaneous myiasis must be considered with any South or Central American patient having a nonhealing abscess.

Report of a Case:—  An 11-year-old boy was seen in the pediatric surgical clinic of Elmhurst Hospital because of a lump in the occipital region of his scalp. The child had lived with his family in a town in Costa Rica until the week prior to his departure from the country. This final week was spent with relatives on a farm. Shortly after his arrival in New York a small lump was noticed on his scalp. During the next few weeks the lump gradually enlarged and began to discharge a small quantity of