B87.0

Clinical Causes: Infection by fly species such as Dermatobia hominis (botfly), Cordylobia anthropophaga (tumbu fly), and others Contact with contaminated soil or sand where fly eggs are laid Poor hygiene or living in unsanitary conditions Injury or open wounds that serve as entry points for larvae Travel to endemic regions where certain flies are prevalent

Key Symptoms: Seeing moving or creeping sensations on or under the skin Presence of small bumps or boil-like lesions that may contain larvae Redness, swelling, or inflammation around the affected area Pain or discomfort at the site of infestation Itching and tenderness of the skin Possible secondary bacterial infection resulting in pus or foul odor

Diagnosis Path: Diagnosis generally involves a thorough physical examination by a healthcare professional, who may observe the movement of larvae or identify characteristic skin lesions. In some cases, imaging techniques like ultrasound can help visualize deeper larval structures. Laboratory analysis of extracted larvae or skin samples may be conducted to determine the specific species involved. Proper history-taking regarding travel or exposure to endemic environments supports the diagnosis.

Treatment Protocols: Treatment aims to remove the larvae and address any secondary infections. Common approaches include: - Mechanical extraction of the larvae using sterile instruments - Occlusion techniques, such as applying petroleum jelly or other substances to suffocate larvae, encouraging them to surface for removal - Administering antibiotics if bacterial infection is present - Wound care to promote healing and prevent reinfection - In some cases, antiparasitic medications may be prescribed Professional medical intervention is essential for safe and effective treatment, and self-removal attempts at home are discouraged due to the risk of complications.