Human botfly infestation: the tip of the iceberg.

BMJ Case Rep

Department of Trauma and Orthopaedics, Glan Clwyd Hospital, Rhyl, UK.

Published: December 2014

A retired man in his 60s was referred to the on call orthopaedic team by his general practitioner following several attempts to extricate a human botfly larva from his forearm. While on holiday in Belize with his daughter 8 weeks previously they both were bitten by some insects. She developed an infestation which was treated locally. Once back in the UK, he subsequently reported of localised itching and discomfort. A botfly larva was successfully removed in the emergency department following local anaesthetic infiltration.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275711PMC
http://dx.doi.org/10.1136/bcr-2014-205890DOI Listing

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