Article: Botfly Infestation (Dermatobia hominis).

A 61-year-old woman noted pruritic lesions on her back, proximal right thigh, and in her left supraclavicular area about 2 weeks after returning from a 10-day vacation in Belize, which included 4 days of snorkeling in the ocean (no freshwater exposure) and 6 days of jungle hiking. She was well during the trip, taking mefloquine for malaria prophylaxis, applying diethyltoluamide, and wearing long-sleeved shirts and pants while in the jungle, although she would change to shorts at night while indoors. She could not recall mosquito, tick, or fly bites.

Three weeks later, the "bites" had enlarged to 10 cm in diameter and were raised, warm, and red. She noted that the ...

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