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Furuncular myiasis is a temporary cutaneous parasite infestation in which a fly larva develops and burrows into the human host’s dermo-hypodermic tissue. It is the fourth most common travel-related skin disease and is prevalent in numerous regions worldwide (Table I).
Its pathophysiology and clinical diagnosis are described in tables II and III, respectively.
Two flies, Dermatobia hominis and Cordylobia anthropophaga are the most common culprits (Table II).
Furuncular myiasis is diagnosed mainly on the basis of the clinical appearance of the lesions and travel history (Table III). An ultrasound examination may be helpful.
Cutaneous leishmaniasis, tungiasis or cutaneous larva migrans are easy to diagnose in most cases.
The prognosis is good. The only exception is cerebral myiasis caused by D. hominis subsequent to fontanel infestation in neonates.
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