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Extended Perineal Dermatobia hominis Myiasis in a Traveler Returning From South America

Rostane Gaci, MD1; Marion Delord, MD1; Philippe Parola, MD, PhD1,2; Philippe Brouqui, MD, PhD1,2; Jean-Christophe Lagier, MD, PhD1,2
[+] Author Affiliations
1Pôle Infectieux, Institut Hospitalo-Universitaire Méditerranée Infection, Assistance Publique Hôpitaux de Marseille, Centre Hospitalier Universitaire Nord, Marseille, France
2Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Aix Marseille Université, Marseille, France
JAMA Dermatol. 2015;151(12):1389-1390. doi:10.1001/jamadermatol.2015.2608.
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This case report describes a multifocal perineal infestation by Dermatobia hominis in a man in his 60s who presented with pruriginous perineal nodules on return from travel in South America.

As an increasing number of travelers visit tropical regions, western physicians will find themselves treating more patients with travel-associated infection.1 Among them, skin diseases account for nearly 10% of medical situations, and myiasis represents 7% to 11% of imported dermatosis.1

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Figure.
A Case of Extended Perineal Dermatobia hominis Myiasis

A, Ten perineal furunculoid lesions. B, One larva of D hominis was surgically extracted from each lesion.

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