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February 1986

Removal of Dermatobia hominis Larvae

Author Affiliations

Department of Dermatology Viale Benedetto XV University of Genoa Genoa, Italy

Arch Dermatol. 1986;122(2):140. doi:10.1001/archderm.1986.01660140024012

To the Editor.—  Removal of Dermatobia hominis larvae from infested skin may represent a troublesome task, especially when the nodules are numerous. Damage of the larvae may also occur, as in the case reported by File et al1 in the September 1985 Archives, and remnants of their bodies may be inadvertently left in the nodule.A complete and indolent removal of the larvae may be achieved in a more elegant and safer way by simply introducing lidocaine hydrochloride underneath the nodule by using a syringe. The simple pressure of the injection is sufficient to push the larvae out.2 Rarely, a slight surgical enlargement of the pore is needed.The method is simple and fast and does not require suture of the pore as does the surgical procedure employed by File et al. The amount of lidocaine needed does not exceed 2 mL per nodule. We were able to