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Figure 1. A 46-year-old woman had an enlarging, tender, draining nodule on the upper arm. Prior treatment consisting of hot compresses and a course of oral antibiotics had had no effect. The patient had no other symptoms or findings, and the results of routine blood studies were normal. She had traveled to southern Mexico six weeks earlier for an archaeological dig. During her clinic visit, a human botfly larva (Dermatobia hominis) began to emerge from the nodule (Panel A). The traditional treatment in areas where myiasis is endemic (Mexico and South and Central America) is occlusion of . . . [Full Text of this Article] |
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