ABSTRACT
A 39-year-old man who was returning from the Amazon Jungle and had no medical history presented with a furuncular lesion on his right parietal scalp. Despite receiving appropriate antimicrobial treatment, his lesion did not heal. After surgical intervention, a Dermatobia hominis larva was extracted. The human botfly D. hominis is the most common causative agent of furuncular myiasis among travelers returning from Central and South America. Surgery is the main treatment option, and secondary bacterial infection should be kept in mind.
Subject(s)
Diptera , Myiasis/diagnosis , Skin Diseases, Parasitic/diagnosis , Adult , Animals , Brazil , Diagnosis, Differential , Humans , Larva , Male , Myiasis/parasitology , Myiasis/surgery , Scalp , Skin Diseases, Parasitic/parasitology , Skin Diseases, Parasitic/surgery , TravelABSTRACT
Dermatobia hominis (human Bot fly) causes furuncular myiasis (larval infection) in Central and South America. This report describes a case in a member of the UK Armed Forces who had recently taken part in an overseas training exercise in Belize. The importance of clinical history (including travel history) is highlighted. We also describe the outcomes of conservative treatment and surgical intervention for separate lesions in the same patient.
Subject(s)
Diptera , Epidermal Cyst/parasitology , Myiasis/parasitology , Skin Diseases, Parasitic/parasitology , Adult , Animals , Belize/ethnology , Diagnosis, Differential , Epidermal Cyst/diagnosis , Epidermal Cyst/surgery , Humans , Larva , Male , Military Personnel , Myiasis/diagnosis , Myiasis/surgery , Skin Diseases, Parasitic/diagnosis , Skin Diseases, Parasitic/surgery , Travel , United Kingdom/epidemiologyABSTRACT
Tungiasis is an infestation caused by penetration of the skin by the gravid female of the flea Tunga penetrans Linnaeus 1758 (Insecta, Siphonaptera: Tungidae). Tunga penetrans is currently found in Central and South America, sub-Saharan Africa, and Central Asia. Prevalence is very high in Brazil. We present a case of tungiasis in an Italian beach volleyball player who acquired the infestation in Brazil.
Subject(s)
Foot Dermatoses/parasitology , Travel , Tunga/parasitology , Tungiasis/diagnosis , Adult , Animals , Brazil , Foot Dermatoses/etiology , Humans , Male , Skin Diseases, Parasitic/diagnosis , Skin Diseases, Parasitic/surgery , Tungiasis/surgery , VolleyballABSTRACT
Tungiasis is an ectoparasitosis caused by the impregnated female sand flea Tunga penetrans. It is endemic in certain resource poor areas around the world and imported infestations in travellers can lead to considerable morbidity. With the rise in international travel and immigration, the likelihood of physicians encountering such tropical skin infestations is rising. The ability of physicians to recognise tungiasis early will be immensely beneficial to patients. We describe a case of tungiasis where a traveller presented with painful foot lesions. The patient had returned to the United Kingdom 4 days previously after spending 4 weeks in the Pantanal region in Brazil. A literature review on this subject was undertaken in this article.
Subject(s)
Ectoparasitic Infestations/diagnosis , Foot/parasitology , Siphonaptera/pathogenicity , Skin Diseases, Parasitic/diagnosis , Adult , Animals , Brazil , Ectoparasitic Infestations/parasitology , Ectoparasitic Infestations/pathology , Ectoparasitic Infestations/surgery , Female , Foot/pathology , Foot/surgery , Humans , Male , Skin Diseases, Parasitic/parasitology , Skin Diseases, Parasitic/pathology , Skin Diseases, Parasitic/surgery , TravelABSTRACT
Os autores descrevem um caso de infecçäo humana causada por Lagochilascaris minor localizada exclusivamente na regiäo cervical, apresentando-se como nódulos com fistulizaçäo, em cuja secreçäo foram encontradas várias larvas do parasita. O paciente de raça negra, com 42 anos, procedia do município de Marabá-PA. Foi submetido a tratamento com Levamisole 150/mg/dia por 40 dias e depois 300mg/semana com melhora clínica, e entäo realizada exérese cirúrgica das massas cervicais com boa recuperaçäo pós-operatória
Subject(s)
Adult , Humans , Male , Skin Diseases, Parasitic/drug therapy , Levamisole/therapeutic use , Head and Neck Neoplasms/pathology , Spine/pathology , Skin Diseases, Parasitic/surgeryABSTRACT
Although cutaneous myiasis remains uncommon in North America, any traveler to the tropics may return with this ailment. A history of travel to a tropical country, a persistent pruritic lesion resembling a boil but having a dark central punctum with seropurulent or serosanguineous drainage, and complaints of a crawling sensation in the area of the lesion should lead the physician to consider myiasis. Treatment is directed at prompt removal of the fly maggot by incision and extraction.