Parasitism due to fly larvae is called myiasis. Some of these larvae, such as those of Wohlfahrtia magnifica, are obligate parasites because they can only grow on living tissues, whereas others are facultative parasites because the larvae live in decaying organic matter and infest living beings accidentally. One such example is the common housefly, Musca domestica, which is found worldwide, and usually lays its eggs on refuse and faeces. In human beings, infestation with M. domestica larvae can affect different body parts, including the eyes, skin, mouth and ears. We describe extensive cutaneous myiasis due to M. domestica.An 89‐year‐old woman was admitted to the emergency at the Hospital of Fréjus (southeast France) in July for severe deterioration of general status and pain in her back and sacrum. The patient had advanced Alzheimer‐type dementia with associated malnutrition. Although she was functioning very poorly, she lacked any help at home. On arrival at the hospital, the patient was found to have extremely poor personal hygiene.On physical examination, skin lesions related to pressure and maceration were discovered on the patient's back and sacrum, which were infested with maggots of undetermined species (Fig. ). Medical examination performed in the geriatric medicine department identified
Clinical & Experimental Dermatology – Wiley
Published: Jan 1, 2018
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