Bot-fly bite

Nodular skin lesion in a returning traveler

As tropical countries become common travelers' destinations, more and more returning travelers are expected to present with cutaneous lesions secondary to myiasis. The skin lesion starts as a small red papule and gradually enlarges to become a furuncle. Familiarity with the characteristic clinical presentation and proper management would avoid an unnecessary diagnostic work-up and therapeutic intervention, including surgery and the use of antibiotics.

Dermatobia hominis in the accident and emergency department: "I've got you under my skin"

An unusual form of larval infestation from South America is presented which, in view of increasing tourism to South america's tropical areas, may present to any accident and emergency department. Infestation with Dermatobia hominis is reviewed in terms of clinical recognition and life cycle. Techniques of removal are described.