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MYIASIS IS FLY LARVAE INFESTING A LIVING BODY

A botfly on a rainforest leaf at night beside a traveler looking at a bump on their forearm

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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WHAT MYIASIS IS AND ITS FLIES 🪰

Myiasis Is The Infestation Of Live Vertebrates With Fly Larvae

A 2012 Review Article Gives That Definition

The Definition Includes Both Humans And Animals

Larvae Are The Immature Stage Of An Insect

These Larvae Are Called Dipterous

The Word Means They Belong To The Order Diptera

That Order Is Commonly Known As The True Flies

In Mammals The Larvae Can Feed On Living Or Dead Tissue

They Can Also Feed On Liquid Body Substance Or Ingested Food

The Review Sorts The Species By Their Level Of Parasitism

Obligatory Species Are Parasites Dependent On A Host

Part Of Their Life Cycle Depends On It

Facultative Species Live Freely And Some Can Start Myiasis

Others May Join Once A Host Is Already Infested Or Near Death

Accidental Species Live Freely And Cannot Complete Their Life Cycle

Their Larvae Cause A Pathological Reaction On Accidental Contact

The Obligatory Group Includes These Two Flies

One Is The Human Botfly Called Dermatobia Hominis

A Second Obligatory Fly Is The New World Screwworm

Its Name Is Cochliomyia Hominivorax

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THE FORMS MYIASIS TAKES 🩹

Myiasis Is Also Sorted By Where It Is On The Host

Cutaneous And Wound Myiasis Are The Most Frequent Forms

Furuncular And Migratory Types Fall Under Cutaneous Myiasis

A Furuncle Is A Boil Like Lesion In The Skin

The Other Common Form Is Wound Myiasis

It Occurs When Fly Larvae Infest Open Wounds Of A Mammalian Host

This Form May Result From Facultative Or Obligatory Parasites

The Screwworm Is Classed As Obligatory Wound Myiasis

Cavitary Myiasis Is Infestation Of Natural Body Cavities

The Infestation Is Usually Named For The Affected Organ

Cerebral Myiasis Involves The Brain

Aural Myiasis Involves The Ear

Nasal Myiasis Involves The Nose

Ophthalmomyiasis Involves The Eye

So Nasal And Eye Myiasis Are Both Cavitary Forms

Back On The Skin The Human Botfly Commonly Causes Furuncular Myiasis

Human Botfly Patients Usually Present With A Single Furuncular Lesion

The Lesion Is Usually On An Exposed Site

Examples Are The Scalp Face And Extremities

Those Patients Also Report Pain That Is Characteristically Nocturnal

Nocturnal Means The Pain Occurs At Night

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SYMPTOMS AND WHAT IT IS MISTAKEN FOR 🔍

Fly Larvae Can Cause A Broad Range Of Infestations

Those Infestations Depend On Body Location And The Host Relationship

In Furuncular Myiasis Itching Pain And Movement Are Most Reported

Botfly Larval Hooklets And Turning May Explain The Pain

Some Patients Sense Something Crawling

Patients May Recall An Insect Bite Before The Lesion

In Children Itching Distress And Sleep Disturbance Are Reported

Furuncular Cases Can Challenge Doctors Unfamiliar With Myiasis

Several Conditions Can Be Mistaken For Furuncular Myiasis

Two Are A Furuncle And An Insect Bite

Insect Prurigo And Pyoderma Are Two More

The Last Two Are An Inflamed Cyst And Tungiasis

In Sub Saharan Africa The Tumbu Fly Also Causes Furuncular Myiasis

Its Myiasis Can Simulate A Severe Soft Tissue Infection

Myiasis On The Lip May Be Confused With Lip Cellulitis

Breast Myiasis May Be Confused With Mastitis Or Even Cancer

Some Cases Can Be Misdiagnosed As Delusional Parasitosis

That Is A Fixed False Belief Of Being Infected With Parasites

The End

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