Myiasis: What is it?

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Myiasis: What is it?

Myiasis is the infestation of human tissue (wounds) with fly larvae (eggs, bots, larvae, maggots). The flies lay their eggs on a bloodsucking vector (mosquito). The vector takes a blood meal from a human host; this is the point when the botfly larvae penetrate the human host's skin. The larvae feed subdermally. Other flies may lay their eggs directly on the human host's open wound. This infestation may cause infection and disease. Although not commonly seen in the US, cases may present whenever an individual has untreated open wounds, within an open ostomy site, or wherever flies might congregate under unhygienic conditions.
Three types of myiasis
  • Obligatory: The larvae require healthy host tissue
  • Facultative: The larvae feed on dead or decaying tissue
  • Incidental: The larvae are free-living, colonizing the host
24. CDC. Image# 19575. "This young girl exhibited a cutaneous lesion on her right upper arm, which was diagnosed as a case of myiasis, an infection brought on when Dermatobia hominis fly larvae, or maggots, burrow into the host’s skin causing infection." PHIL public domain. Created 1966. https://phil.cdc.gov/Details.aspx?pid=19575
25. CDC. Image# 21335. "Under a low magnification of 4X, this photomicrograph revealed some of the morphologic features exhibited by a human botfly, Dermatobia hominis maggot. This specimen was extracted from a patient’s skin." PHIL public domain. Created - no date specified. https://phil.cdc.gov/Details.aspx?pid=21335

Cutaneous lesion (upper arm), diagnosed as myiasis, an infection brought on when Dermatobia hominis fly larvae, or maggots burrow into the host’s skin causing infection. (24)
Under a low magnification of 4X: human botfly, Dermatobia hominis maggot. This specimen was extracted from a patient’s skin. (25)