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February 1981

Furuncular Myiasis Caused by Wohlfahrtia vigil (Walker): First Case Reported in Nebraska

Author Affiliations

From the Departments of Pathology (Dr Smith), Medical Microbiology (Dr McFadden), and Pediatrics (Drs Shaffer and Gasseling), the University of Nebraska College of Medicine, Omaha.

Arch Dermatol. 1981;117(2):119-120. doi:10.1001/archderm.1981.01650020061029

Furuncular lesions in infants may, on rare occasions, be caused by penetration or scarification of the skin by larvae of the sarcophagid fly Wohlfahrtia vigil. The present case is considered worthy to record because of two unique features—the involvement of the youngest infant reported to date, and, to our knowledge, the report of the first case in Nebraska.

Report of a Case  The patient was a male infant born on June 10, 1979, and discharged from the hospital in his home community of Kearney, Neb, three days after birth. He appeared normal in every respect, and his neonatal course in the hospital was unremarkable. On the night of his fourth day of age, the mother noted a lesion on his right side, which was thought to be an insect bite. The next day this lesion had increased in size and two more lesions were discovered on the buttocks. The patient

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