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2024, Number 6

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Arch Med Fam 2024; 26 (6)

Cutaneous Myiasis Caused by Hypoderma spp: a Challenging case in the Family Doctor’s Office

Tavera VMA, Santana RAI
Full text How to cite this article

Language: Spanish
References: 10
Page: 319-321
PDF size: 145.39 Kb.


Key words:

Myiasis, Parasitic infection, Skin disease.

ABSTRACT

Myiasis is a parasitic infection caused by fly larvae, which affects the dermis and epidermis, characterized by a skin disease of pruritic erythematous plaques. We present the case of a 49-year-old woman with a pruritic, erythematous rash located in the lower limbs. Management was started with ivermectin and antibiotics without improvement, the diagnosis was subsequently confirmed with a biopsy, finding larvae of Hypoderma spp., and treatment with albendazole was given with clinical improvement and remission of the lesions in two weeks. Primary care physicians must have an adequate clinical history and a great diagnostic suspicion when facing this clinical challenge.


REFERENCES

  1. Guerrero Zulueta A. Miasis cutánea. Atención Familiar[Internet]. 4 de diciembre de 2015 [citado 1 de octubrede 2024];23(1):34-35. Disponible en: https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/53423

  2. Martínez-González MI, Heras-González S, Fatsini-Blanch V, Martínez de Salinas-Quintana AM. Miasisforunculoide, a propósito de un caso importado. SEMERGEN- Med Fam. 2017;43(7):528-9.

  3. Verheijden M, Laumen L, Mulder M, Boshoven M,Roelfsema J, Pronk M, et al. Migratory myiasis in aEuropean traveller due to Hypoderma larvae. J TravelMed. 2022;29(5): taac023.

  4. Otranto D, Johnson G, Syvrud K, Yoon S, Hunter JS,Rehbein S. Treatment and control of bovine hypodermosiswith ivermectin long-acting injection (IVOMEC®GOLD). Parasit Vectors. 2016;9(1):551.

  5. Gunn A, Pitt SJ. Parasitology: an integrated approach.Chichester, West Sussex: John Wiley & Sons; 2012.

  6. Arenas Guzmán R. Dermatología. Ciudad de México:McGraw-Hill Interamericana; 2019.

  7. Vargiu A, Scala A, Rappelli P, Varcasia A. Case Report:First Report of Autochthonous Human CutaneousMyiasis Caused by Hypoderma lineatum in Europe. AmJ Trop Med Hyg. 2018;99(3):618-9.

  8. Kang S, editor. Fitzpatrick’s dermatology. Ninth edition.New York: McGraw-Hill Education; 2019.

  9. Al Dhubaibi MS, Mohammed GF, Bahaj SS, AbdElneamAI. Cutaneous larva migrans: A case reportdiagnosed using teledermatology. Clin Case Rep.2023;11(6):e7619.

  10. Dam Larsen F, Larsen CS, Jespersen S. Late relapse ofcutaneous larva migrans. IDCases. 2023;33: e01885.




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Arch Med Fam. 2024;26