Nonhealing boils.

Citation metadata

Date: Apr. 2022
From: Journal of Family Practice(Vol. 71, Issue 3)
Publisher: Jobson Medical Information LLC
Document Type: Case study
Length: 875 words
Lexile Measure: 1390L

Document controls

Main content

Article Preview :

It seemed clear that the growth was linked to a recent trip to a tropical location. But the true cause wasn't the one that was originally suspected.

A HEALTHY WOMAN IN HER 60s presented to the clinic with a 1-month history of red, itchy, and slightly painful nodules on the scalp and back. The patient had travelled to Belize for a vacation in the weeks prior to the onset of the lesions. She was initially given a course of cephalexin for presumed furunculosis at another clinic, without improvement.

Examination revealed inflamed nodules with a central open pore on the left upper back (FIGURE 1) and the occipital scalp. Notably, when the lesions were observed with a dermatoscope, intermittent air bubbles were seen through the skin opening.

* WHAT IS YOUR DIAGNOSIS?

* HOW WOULD YOU TREAT THIS PATIENT?

Diagnosis: Furuncular myiasis

Given the patient's clinical presentation and travel history, furuncular myiasis infestation was suspected and confirmed by punch biopsy. Pathologic exam revealed botfly larvae in both wounds, consistent with the human botfly, Dermatobia hominis (FIGURE 2). Myiasis is not common in the United States but should be suspected in patients who have recently traveled to tropical or subtropical areas. Furuncular myiasis describes the condition in which fly larvae penetrate healthy skin in a localized fashion, leading to the development of...

Source Citation

Source Citation   

Gale Document Number: GALE|A702237902