Cutaneous myiasis (CM) is invasion of human skin by larvae of dipterous flies 1. CM is encountered worldwide and is endemic in several tropical countries, mainly in central and south American 2. Cases have been reported in non-tropical countries such as USA, UK, Germany, and Japan 3,4,5.. Patients with CM due to Dermatobia hominis usually suffer from painful pruritic furuncular skin lesion with a serous or seropurulent discharge accompanied by a crawling sensation. The disease may resolve spontaneously, however conservative and/or surgical treatment may be indicated. Fatal CM due to D. hominis was reported from Brazil where a scalp lesion had disseminated into the brain 6. In Sudan, CM seems uncommon, unreported or probably underdiagnosed. In this communication we describe a case of CM due to D. hominis which seems to have been acquired from an indigenous source. Case Report: A nine-years-old Sudanese female, from Gedaref area, Eastern Sudan, complained of an unexplained discharging furuncular skin lesion on her right leg for two weeks. She sought medical advice several times and was given topical treatments and oral antibiotics. The patient was referred to Tropical Diseases Teaching Hospital (TDTH), Omdurman, because a larva dropped from the lesion while the patient's mother was dressing it. The larva was identified as D. hominis at TDTH (The figure). The patient was reassured and no specific treatment was given.
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