Crusted Nodules on the Lower Left Arm in a Traveller Returning from South America: A Quiz

Uslu, Uğur; Erdmann, Michael; Schliep, Stefan; Sticherling, Michael

doi:10.2340/00015555-2804

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…The typical clinical encounter with human myiasis in temperate countries is the returning traveler from endemic areas presenting with predominantly cutaneous myiasis (Chang & Donaghy, 2021;Dalton & Chambers, 2009;Oliva et al, 2020;Song et al, 2017;Suárez et al, 2018;Uslu et al, 2018). In tropical countries, e.g., Kenya, the disease is observed in endemic regions.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Furuncular Myiasis in a Rural Kenyan Hospital: A Case Report

Joseph,

Kariithi,

Onyango

2023

Am. J. Med. Sci. Innov.

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Myiasis is a neglected tropical disease caused by infestation by the larval stages (maggots) of many species of flies, which occur worldwide but are more prevalent in the tropical and subtropical regions. The two main types of flies causing human myiasis are Dermatobia hominis (bot fly) and Cordylobia anthropophaga (tumbu fly). Cases of human myiasis in Kenya are not well documented, but some epidemiological studies show the tumbu fly to be the most prevalent. Transmission and infestation occur in cases of poor personal and environmental hygiene, especially in spaces shared with wild and domestic animals. Cutaneous myiasis, presenting as a furuncular, wound, and migratory disease, is the most common clinical phenotype that may be associated with secondary pyogenic infection and cellulitis, especially when not treated promptly. In this study, we present a case of cutaneous furuncular myiasis in a patient from rural Kenya. We share our experience managing the patient and also provide a literature review on the clinical case management of myiasis, with a call for more epidemiological and clinical work to be done to better understand this neglected disease.

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Section: Discussionmentioning

confidence: 99%

Cutaneous Furuncular Myiasis in a Rural Kenyan Hospital: A Case Report

Joseph,

Kariithi,

Onyango

2023

Am. J. Med. Sci. Innov.

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Human myiasis in Ecuador

et al. 2020

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We review epidemiological and clinical data on human myiasis from Ecuador, based on data from the Ministry of Public Health (MPH) and a review of the available literature for clinical cases. The larvae of four flies, Dermatobia hominis, Cochliomyia hominivorax, Sarcophaga haemorrhoidalis, and Lucilia eximia, were identified as the causative agents in 39 reported clinical cases. The obligate D. hominis, causing furuncular lesions, caused 17 (43.5%) cases distributed along the tropical Pacific coast and the Amazon regions. The facultative C. hominivorax was identified in 15 (38%) clinical cases, infesting wound and cavitary lesions including orbital, nasal, aural and vaginal, and occurred in both subtropical and Andean regions. C. hominivorax was also identified in a nosocomial hospital-acquired wound. Single infestations were reported for S. haemorrhoidalis and L. eximia. Of the 39 clinical cases, 8 (21%) occurred in tourists. Ivermectin, when it became available, was used to treat furuncular, wound, and cavitary lesions successfully. MPH data for 2013-2015 registered 2,187 cases of which 54% were reported in men; 46% occurred in the tropical Pacific coast, 30% in the temperate Andes, 24% in the tropical Amazon, and 0.2% in the Galapagos Islands. The highest annual incidence was reported in the Amazon (23 cases/100,000 population), followed by Coast (5.

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Crusted Nodules on the Lower Left Arm in a Traveller Returning from South America: A Quiz

Cited by 2 publications

References 8 publications

Cutaneous Furuncular Myiasis in a Rural Kenyan Hospital: A Case Report

Cutaneous Furuncular Myiasis in a Rural Kenyan Hospital: A Case Report

Human myiasis in Ecuador

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