Furuncular cuterebrid myiasis

Cutaneous myiasis

“…These lesions are typically pruritic, but may also be tender and painful; some patients describe a sensation of movement within the lesion. 54 The clinical differential diagnosis is similar to that for D hominis and C anthropophaga.…”

Myiasis

“…Direct extraction may be difficult in some cases because of both its depth in the skin and the presence of surface spines which anchor it. Spontaneous extrusion may occur (312).…”

An unusual case of an infected preauricular pit in a child

“…Furunculosis frequently manifests as an acute raised, tender, erythematous, pruritic, indurated wound measuring 10-25 mm in diameter and 5-10 mm in height [2,10]. In the center of the furuncle is a 2-3 mm puncta that connects via a bottle-neck tract to the subcutaneous burrow or cavity where the larva matures.…”

“…It is non-indigenous to the northern latitudes such as the United States of America and North America. Human botfly infection has been however sporadically described in the Pacific West and in the Northeast of the United States as well as southeast Canada [10]. In individuals with no international travel history, infection is often suspected secondary to Cuterebra larva.…”