Dermatobiasis in a Russian tourist travelled to Argentine and Brazil. A case and review of the literature
A case of furuncular myiasis is presented as a 65-year-old man travelled to Iguaçu Falls in Brazil and Argentine. Furunclelike lesions were observed on the top of his right shoulder blade and he complained of crawling sensations within his shoulder blade. Two invasive larva of botfly, Dermatobia hominis, were extruded from the furuncular lesion of the patient. This condition is endemic to the forested areas of Mexico, Central and South America. Because of widespread travel, furuncular myiasis has become more common in European countries. Awareness of cutaneous myiasis for clinicians should be considered for a patient who has a furuncular lesion and has recently returned from a botfly-endemic area. Misdiagnosis and mismanagement can occur owing to limited awareness of the condition outside endemic areas.