Identification of Subcutaneous Myiasis Using Bedside Emergency Physician Performed Ultrasound

Schechter, Elissa; Lazar, Jeffrey D.; Nix, Michael; Mallon, William K.; Moore, Christopher L.

doi:10.1016/j.jemermed.2007.11.095

Cited by 21 publications

(16 citation statements)

References 14 publications

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“…The examination reveals a central opening surrounded by dilated blood vessels and a yellowish structure with black barblike spines (27). Ultrasound can be very useful to confirm a case of furuncular myiasis and also for the complete removal of the larvae (299,334). A well-defined highly echogenic area surrounded by a hypoechoic area, the presence of segmentations on longitudinal sections, and distal shadowing are features of D. hominis in an ultrasound.…”

Section: Cutaneous Myiasismentioning

confidence: 99%

Myiasis

2012

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SUMMARY Myiasis is defined as the infestation of live vertebrates (humans and/or animals) with dipterous larvae. In mammals (including humans), dipterous larvae can feed on the host's living or dead tissue, liquid body substance, or ingested food and cause a broad range of infestations depending on the body location and the relationship of the larvae with the host. In this review, we deeply discuss myiasis as a worldwide infestation with different agents and with its broad scenario of clinical manifestations as well as diagnosis techniques and treatment.

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Section: Cutaneous Myiasismentioning

confidence: 99%

Myiasis

2012

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“…8 There have been recent reports of bedside ultrasonography assisting in the diagnosis of cutaneous myiasis. One report describes a discrete encapsulated hyperechoic larva with shadowing, but no spontaneous movement, 9 whereas another describes an area of spontaneous movement just below the skin. 5 Suffocation therapy and the application of lateral pressure may be sufficient to extract the larva.…”

Section: Discussionmentioning

confidence: 99%

“…These therapeutic measures have erratic success, and if failed, the larva should be surgically excised. 9 CONCLUSIONS Given the justifiably increased vigilance for MRSA skin infections, particularly among athletes, it is important to remember that not all furuncular lesions in athletes are MRSA. These cases highlight myiasis as a rare cause of furuncular lesions in athletic training rooms and emphasize the importance of considering a broad differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Myiasis Masquerading as Methicillin-Resistant Staphylococcus aureus

Lopez

Coris²

2013

Clinical Journal of Sport Medicine

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Numerous factors place athletes at increased risk for cutaneous infections, and as such, they are a common complaint in athletic training rooms. Methicillin-resistant Staphylococcus aureus (MRSA) is an increasingly common etiology, and given its severe sequelae, a high index of suspicion in this population is justified. We present 2 cases of college athletes who presented to the athletic training room with findings suspicious for MRSA infection. However, after further investigation, the true diagnosis of myiasis was reached. These cases highlight the importance of asking athletes about recent travel and considering a broad differential diagnosis when evaluating furuncular lesions.

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“…3 Since then, it was employed in some cases of D.hominis myiasis. [4][5][6][7][8][9][10][11] Ultrasound is a simple, rapid, non-invasive and cheap procedure for the assessment of many cutaneous lesions.In particular, it can be helpful for the identification of the larvae, differentiating myiasis from cysts and abscess. Ultrasound can also be helpful to guide the parasite extraction and to ensure that it has been properly removed.…”

mentioning

confidence: 99%

“…hominis myiasis. [4][5][6][7][8][9][10][11] Ultrasound is a simple, rapid, non-invasive and cheap procedure for the assessment of many cutaneous lesions.…”

mentioning

confidence: 99%