Most commonly an invasion of the back, gluteal region or the backside of the extremities is seen. Immediately after skin contact is made the larva invades the skin. The female fly then places the fly-eggs on the spread out cloths. However, a common way of infection is happening through cloths that are dried outside on the ground, and are contaminated with urine, excreta or sweat. Typically the female fly places their eggs on sandy soil for further population. The parasital invasion causing Myiasis by the mango fly is commonly seen in sub-Saharan Africa. Under closer inspection of the larvae they could be identified as the once of the mango fly (Cordylobia anthropophaga). Additionally antibiotic therapy with Unacid was given for 2 days. This information was leading us to our working hypothesis of dermatomyiasis.Īfter thorough disinfection of the patients back and upper extremities, white and yellow appearing larva of about 10-15 mm in size could be removed by the use of a forceps and manual compression.Īfter removal of 99 maggots, antiseptic wound dressings were applied to protect the wounds from further infections. Figure 1: a) Clinical image of the patients back at first presentation b) Clinical image of the backside of the right upper arm, after removal of maggots c) Clinical image after one week after removal of the larva.Īnamnestically the patient revealed that his hand washed laundry was regularly left to dry in local vegetation, such as bushes and grass.
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