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Thomas S. Potter, MD; Michael A. Dorman, MD; Mohammed Ghaemi, MD; Ken Hashimoto, MD

Arch Dermatol. 1995;131(8):951-952.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 45-year-old white businessman, who frequently travels to western Africa, presented 1 day after returning from a recent trip to Sierra Leone. Pruritic clusters of follicular inflammation developed on his back 1 day before his departure from that country. Physical examination revealed multiple, 4- to 8-mm clustered, erythematous, crusted papules on his midback, primarily on the right (Figure 1). An initial diagnosis of folliculitis (vs herpes zoster) was made. Cephalexin for folliculitis was given.

Six days later, on awakening, several small, black, wormlike organisms were found crawling on his side of the bed. He returned to us that day and about 20 larvae were removed from his back (Figure 2). Laboratory tests showed only slight eosinophilia (0.03). The patient responded well to treatment.

What is your diagnosis?

Figure 1.

Figure 2.

DIAGNOSIS:

Tumbu fly myiasis.

HISTOPATHOLOGIC FINDINGS

The larva submitted (diameter, 12x6x6 mm) was a mature . . . [Full Text PDF of this Article]

Author Affiliations
Wayne State University School of Medicine, Detroit, Mich

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