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32 year old man returned from Belize (Central America)) about 5 weeks ago. He noticed a small red bump on his arm about 1 week after he returned home. The bump was pruritic. The bump slowly enlarged into a nodule. His primary care physician initiated oral antibiotics providing him with mild and temporary relief from pruritus and redness, but the nodule continued to increase in size. His wife consulted ‘Dr. Google’ and told him she thought she found the diagnosis and told him he needed to see a dermatologist. Look what was removed from the nodule!!


What is your diagnosis?


Case of the Month

Diagnosis:
Human Botfly (Myiasis)

Growing larva (maggot) of a fly in the skin.

For an excellent review of Myiasis, see the following 2 articles

 



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Crutchfield Dermatology





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