摘要
Rationale:Human myiasis is the invasion of tissue or organs by fly larvae.This could be obligatory,facultative,or accidental.Patient concerns:A 4-year-old Saudi boy complained of fever over the past three days with multiple inflamed painful dermal furuncles and worms-like discharge.Diagnosis:Furuncular obligatory myiasis caused by Wohlfahrtia magnifica.Interventions:Maggots were removed for identification.The wounds were cleaned with antiseptic dressings.Topical and oral antibiotics were applied.Outcomes:Seven days later,the wounds completely healed.Lessons:Although several reports correlated human myiasis with old age,low health status,mental retardation,and low socioeconomic status,but the patient in our case was a healthy child from a family with good socioeconomic status,good hygiene,no history of diseases or mental disability,but traveled to a village where the climate is suitable for fly breeding.
