Myiase furonculoïde à Dermatobia hominis : diagnostic fortuit sur la coupe macroscopique extemporanée d’un nodule cutané

Hirsch, G.; Jeandel, R.; Biechler, M.; Boivin, Jean‐François; Hillion, B.

doi:10.1016/j.annder.2015.10.586

Cited by 2 publications

(5 citation statements)

References 10 publications

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“…Le traitement de la myiase sous-cutané dépend du stade larvaire [9,10]. Au stade initial de l'infection, la prise en charge consiste à asphyxier la larve par une substance occlusive (vaseline, vernis à ongles, huile de paraffine, huile de pétrole, lard, graisse de porc ou autres corps gras, pâte à mâcher.)…”

Section: Discussionunclassified

“…Au stade initial de l'infection, la prise en charge consiste à asphyxier la larve par une substance occlusive (vaseline, vernis à ongles, huile de paraffine, huile de pétrole, lard, graisse de porc ou autres corps gras, pâte à mâcher.) [2,9,10]. Les corps occlusifs ont pour but de créer une asphyxie de la larve et forcer cette dernière à se diriger vers la surface de la peau pour trouver de l'air [10].…”

Section: Discussionunclassified

“…[2,9,10]. Les corps occlusifs ont pour but de créer une asphyxie de la larve et forcer cette dernière à se diriger vers la surface de la peau pour trouver de l'air [10].…”

Section: Discussionunclassified

“…Enfin, l'extraction chirurgicale demeure une exception. Elle est préconisée en cas d'impossibilité de retirer la larve manuellement[1,2,10]. Elle doit être pratiquée de manière stérile et la larve doit être retirée entière.…”

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“…Un traitement médicamenteux antiparasitaire n'est pas nécessaire, bien que l'ivermectine semble efficace. La complication principale de la myiase furonculoïde est la surinfection bactérienne[10]. La prophylaxie consiste à laver le linge de manière rigoureuse, à le mettre à sécher en plein soleil, et à le repasser avec un fer très chaud pour détruire les oeufs[1,2].CONCLUSIONNous rapportons une observation de myiase sous cutanée particulière par la survenue chez un nourrisson de deux mois et sa présentation clinique trompeuse à type de lésions furonculoïdes multiples.…”

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Multiple furunculoid myiasis in an infant

Baybay¹,

Mbaye²,

Diop³

et al. 2022

Our Dermatol Online

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Subcutaneous or furunculoid myiasis is an ectoparasitosis caused by the cutaneous or subcutaneous carriage of larvae of various diptera. The causal agent is most often Cordylobia Anthropophaga in tropical areas. We report an observation of multiple subcutaneous myiasis in an infant. The toddler was 2 months old, with no previous history of myiasis and was up to date with vaccinations. He was treated for furunculoid lesions evolving for 5 days. The dermatological examination revealed three inflammatory nodules centred by a whitish orifice without fluid discharge, located on the thorax, the back and the buttocks. The rest of the clinical examination was unremarkable. A maggot was extracted by bi-digital compression of a nodule in the thorax. The diagnosis of furunculoid myiasis was set. The treatment consisted of manual extraction of the maggots and local care. The evolution was favourable after two weeks, labelled by a complete healing of the lesions. Our case is particular because of the occurrence of subcutaneous myiasis in an infant and its misleading clinical presentation simulating multiple furuncles.

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Section: Discussionunclassified

“…[2,9,10]. Les corps occlusifs ont pour but de créer une asphyxie de la larve et forcer cette dernière à se diriger vers la surface de la peau pour trouver de l'air [10].…”

Section: Discussionunclassified

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Multiple furunculoid myiasis in an infant

Baybay¹,

Mbaye²,

Diop³

et al. 2022

Our Dermatol Online

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Wound myiasis in Western Europe: prevalence and risk factors in a changing climate scenario

Andreatta

Bonavina

2021

Eur Surg

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Summary Background Myiasis is an infestation of neglected open wounds by fly larvae. Global warming, related climate changes, and increased traveling in tropical countries may contribute to the worldwide diffusion of new fly species. Common risk factors for myiasis are advanced age, poor hygiene, malnourishment, social isolation, diabetes, cancer, and peripheral artery disease. The aim of this study was to review the characteristics of cases of myiasis reported in Europe. Methods A narrative review of cutaneous myiasis was performed using PubMed, EMBASE, Web of Science database, and the search terms “human,” “myiasis,” “cutaneous myiasis,” “maggot,” “Europe,” “wound,” with the combination of “AND” and “OR.” In addition, hospital charts were reviewed to add personal experience to the literature review. Results Overall, 52 articles, both single case reports and case series reporting cutaneous myiasis, were found in the medical literature of the past two decades. A total of 64 patients living in Europe were identified, of whom 36% had wound myiasis. In addition to the literature review, we report the case of a male patient who presented with myiasis within a deep scalp ulcer occurring after radiotherapy for basal cell carcinoma. Conclusion Myasis is rare and possibly under-reported in Europe. The epidemiology of this infestation may be changing in the future due to climate variability, a rise in travel to tropical areas, and the migration of fly species.

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Myiase furonculoïde à Dermatobia hominis : diagnostic fortuit sur la coupe macroscopique extemporanée d’un nodule cutané

Cited by 2 publications

References 10 publications

Multiple furunculoid myiasis in an infant

Multiple furunculoid myiasis in an infant

Wound myiasis in Western Europe: prevalence and risk factors in a changing climate scenario

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