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Safe and Successful Use of Permethrin for Extraction of Dermatobia hominis Larvae in a Patient With Cutaneous Myiasis

Ganguly, Nivedita MD*; Luchi, Michael MD*; Merino, Fernando MD, FACP*; Chaboo, Caroline PhD

Infectious Diseases in Clinical Practice: January 2013 - Volume 21 - Issue 1 - p 46–47
doi: 10.1097/IPC.0b013e31825b20ed
Case Reports

Cutaneous myiasis by Dermatobia hominis or human botfly larva infestation of skin and subcutaneous tissue is an increasingly recognized health hazard in returning travelers from Central America, South America, and Mexico. Successful extraction of the subcutaneous larvae is important for proper diagnosis and treatment. We hereby report a safe and easy way of extraction of human botfly larvae by local application of 1% permethrin solution in a patient with cutaneous myiasis.

From the *Division of Infectious Diseases, University of Kansas Medical Center, Kansas City, KS and †Division of Entomology, University of Kansas Natural History Museum, Lawrence, KS.

Correspondence to: Nivedita Ganguly, MD, Division of Infectious Diseases, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2013 Lippincott Williams & Wilkins, Inc.