
Case #231 - July, 2008
A 25-year-old man, who recently returned from a trip to Brazil, presented to his health care provider with a festering lesion on his forehead. The patient also complained of feeling things moving under his skin. Surgical removal of the outer surface of the lesion revealed several maggot-like organisms (Figure A) beneath the skin. Specimens were sent to the CDC for diagnostic assistance. Figure B shows a close-up of the anterior end of one of the organisms; Figure C shows a close-up of the posterior end. Figures D and E show structures dissected out of the anterior end of one of the organisms. What is your diagnosis? Based on what criteria?

Figure A

Figure B

Figure C

Figure D

Figure E
Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.
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- Page last updated: August 24, 2016
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