1/5. myiasis in a pregnant woman and an effective, sterile method of surgical extraction.BACKGROUND: Cutaneous myiasis caused by Dermatobia hominis involves the infestation of tissue with dipterous fly larvae and is common in many tropical and subtropical areas. We describe a patient in her sixth month of pregnancy who returned from belize with myiasis detected in the right popliteal fossa. Multiple surgical techniques have been described in the past outlining various ways to extract the botfly larva. No single standardized technique for surgical extraction of larvae has been adopted. OBJECTIVE: To describe a highly effective, sterile method of extraction used in a pregnant patient with botfly infestation. methods: A combination of injection with plain 1% lidocaine, sterile occlusion with polymyxin b sulfate ointment and a cruciform incision was used to extract the larva. RESULTS: The botfly larva was easily and completely extracted without remnants of the larval body being left in the skin. CONCLUSION: The sterile technique we describe allows for quick and easy extraction of the larva without risk of secondary infection or need for antibiotics. This method is especially appropriate for pregnant patients or those with medical conditions precluding a completely competent immune response to potential secondary infection.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/5. Cutaneous myiasis in arkansas.myiasis is a rare infestation of any part of the body by larvae of diptera. Cutaneous myiasis, the most common form seen in tropical climates of central america, south america and africa, are extremely rare in the united states. An extraordinary case of cutaneous myiasis was seen in hot springs in a 71-year-old healthy white male upon his return from the rain forest of costa rica. Manual extraction of one of the larvae by the patient and surgical excision of three other separate subcutaneous larvae were diagnostic and therapeutic in this case.- - - - - - - - - - ranking = 0.14285714285714keywords = extraction (Clic here for more details about this article) |
3/5. Cutaneous myiasis: a simple and effective technique for extraction of Dermatobia hominis larvae.We describe two patients with cutaneous myiasis caused by Dermatobia hominis. Three larvae were removed successfully by a simple technique that involved the injection of each larva with 2 mL of lidocaine, making surgical extraction by incision and exploration unnecessary.- - - - - - - - - - ranking = 0.71428571428571keywords = extraction (Clic here for more details about this article) |
4/5. Cutaneous myiasis.Although cutaneous myiasis remains uncommon in north america, any traveler to the tropics may return with this ailment. A history of travel to a tropical country, a persistent pruritic lesion resembling a boil but having a dark central punctum with seropurulent or serosanguineous drainage, and complaints of a crawling sensation in the area of the lesion should lead the physician to consider myiasis. Treatment is directed at prompt removal of the fly maggot by incision and extraction.- - - - - - - - - - ranking = 0.14285714285714keywords = extraction (Clic here for more details about this article) |
5/5. Dermatobia hominis infestation.A patient is reported who, after leaving venezuela, developed some boils on the left upper limb inhabited by Dermatobia hominis larvae. The curious life-cycle of this tropical fly is described with some considerations about the diagnostic problem. A simple unreported way of larvae extraction is suggested.- - - - - - - - - - ranking = 0.14285714285714keywords = extraction (Clic here for more details about this article) |