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Int J Pediatr Otorhinolaryngol. 2006 Feb;70(2):335-8. Epub 2005 Aug 22.

Human botfly infestation presenting as peri-auricular mass.

Author information

1
SUNY Downstate Medical Center/Long Island College Hospital, Department of Otolaryngology, Brooklyn, NY 11201, USA. b_marina@excite.com

Abstract

To report a new cause of peri-auricular mass in children: cutaneous myiasis-botfly infestation.

CASE REPORT:

The human botfly (Dermatobia hominis) is found in the tropics of Central and South America. However, cases of infestation are uncommon in the United States. We present the case of a 5-year-old girl with cutaneous myiasis in order to expand the differential diagnosis for a peri-auricular mass in children. In our report, the parasite was initially identified as sparganum, but was later reclassified by the center for disease control and prevention (CDC) as a botfly larva. Parasitic infection should be considered with a newly noted head and neck mass, and cutaneous myiasis should be included in the differential diagnosis. Cutaneous myiasis has not been previously reported in the literature describing the peri-auricular region as the site of occurrence. Furthermore, when an unusual parasite is extracted from a lesion, it should be confirmed by an authority such as CDC for definitive diagnosis, so appropriate plan of care and follow up can be instituted.

PMID:
16112752
DOI:
10.1016/j.ijporl.2005.06.025
[Indexed for MEDLINE]

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