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February 1979

Cutaneous Myiasis

Author Affiliations

Washington, DC

Arch Dermatol. 1979;115(2):235. doi:10.1001/archderm.1979.04010020069029

To the Editor.—  Myiases are a group of diseases that are caused by the invasion of vertebrates by larval flies. The disease is worldwide in distribution, but the incidence in man varies with the degree of fly larvae, laid viviparously, or eggs that quickly hatch to infest man. Currently, cases are most frequently seen among those persons who are exposed to unsanitary tropical environments. Two such cases are reported here as cutaneous myiasis.

Report of Cases.—Case 1.—  A woman had a history of intensive "bush" travel in West Africa. A solitary pyogenic ulceration developed on her leg. This lesion continued after she returned to the United States and, not being correctly diagnosed, was treated with a variety of antibiotics and antiseptic dressings that were directed toward the secondary bacterial pyogens. When the correct agent, Cochliomyia hominivorax larva, was identified in the center of the ulcer and removed, healing

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