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CASE REPORT
Year : 2014  |  Volume : 15  |  Issue : 1  |  Page : 46-48

Dermatobia hominis : A souvenir from Peru


Department of Dermatology, Universitary Hospital Kiel UKSH, Allergology and Venerology, Schittenhelmstraße 7, D-24105 Kiel, Germany

Correspondence Address:
Matthias Buchner
Department of Dermatology, Universitary Hospital Kiel UKSH, Allergology and Venerology, Schittenhelmstraße 7, D-24105 Kiel
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2319-7250.131843

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A 16-year-old female with a travel history to Peru and a developing subcutanous mass previously misdiagnosed as an abscess presented in our out-patient clinic. Upon inspection a parasite was detectable at a small entrance-channel on top of the lesion. We removed the parasite after local anesthesia. It was recognized as a Dermatobia hominis larva. A sequencing analysis was also performed to confirm the exact dipteran subspecies. Infestations with D. hominis are fairly common in tropical America but rather unknown to physicians in the northern hemisphere, although they comprise up to 10% of imported diseases from overseas. A travel history and a failure of antibiotic treatment are hallmarks that led to the correct diagnosis in previous reports. As world-wide travels become even more common a detailed travel history is mandatory to consider non-resident pathogens as possible cause of diseases.


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