Furunculoid myiasis

Furunculoid myiasis

G Model ARTICLE IN PRESS Med Clin (Barc). 2016;xxx(xx):xxx–xxx www.elsevier.es/medicinaclinica Image in medicine Furunculoid myiasis夽 Miasis furun...

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G Model

ARTICLE IN PRESS Med Clin (Barc). 2016;xxx(xx):xxx–xxx

www.elsevier.es/medicinaclinica

Image in medicine

Furunculoid myiasis夽 Miasis furunculoide Cristina Garrido-Colmenero ∗ , Ricardo Ruiz-Villaverde, Israel Pérez-López, Jesús Tercedor-Sánchez Unidad de Gestión Clínica, Dermatología Médico Quirúrgica y Venereología, Hospital Universitario Virgen de las Nieves, Granada, Spain

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Male patient, 5 years old, healthy, born in Spain, son of Ecuadorian parents. No recent travel to tropical areas or contact with livestock reported. Consulted because of a painful, erythematous boil, with central whitish area on left arm that had been evolving for two weeks (Fig. 1). A skin ultrasound was performed where, in B-mode, a living organism was observed, 1 cm × 3 mm, inside a small anechoic cavity located in the dermis and the subcutaneous tissue (Fig. 2). Clinically the outlet hole was difficult to see because of prior manipulation of the lesion, and it was decided that the larva should be extracted (Fig. 3). The larva was sent for microbiological study and seemed to be compatible with a Hypoderma bovis fly larva, however the cephalic pole was lacking full characterisation (Fig. 4). In our context, myiasis are usually traumatic, and are produced by the parasitism of infected wounds or large ulcers. The fly from the Hypoderma genus mainly parasitises cattle and, occasionally, sheep and horses; it is very rare in humans.

夽 Please cite this article as: Garrido-Colmenero C, Ruiz-Villaverde R, PérezLópez I, Tercedor-Sánchez J. Miasis furunculoide. Med Clin (Barc). 2016. http://dx.doi.org/10.1016/j.medcli.2015.11.006 ∗ Corresponding author. E-mail address: [email protected] (C. Garrido-Colmenero). ˜ S.L.U. All rights reserved. 2387-0206/© 2015 Elsevier Espana,

MEDCLE-3444; No. of Pages 1