Imported Furuncular Myiasis Due to Cordylobia anthropophaga: A Case Highlighting the Role of Ultrasonography and Morphological Confirmation
Background: Furuncular cutaneous myiasis caused by Cordylobia anthropophaga is a rare condition in non-endemic regions and may mimic furunculosis or skin abscesses, posing a diagnostic challenge. Case presentation: A previously healthy 24-year-old woman presented eight days after returning from Zanzibar with multiple tender erythematous nodules on the buttocks and left forearm. One larva was self-extracted, and others were removed under medical supervision. Ultrasound showed subcutaneous tracts consistent with larval infestation. Morphological analysis confirmed C. anthropophaga. The patient was treated with extraction and topical therapy. Lesions gradually resolved, leaving minimal residual marks after three months. Conclusions: Clinicians should consider furuncular myiasis in travelers returning from sub-Saharan Africa who present with boil-like nodules. Early recognition and extraction of larvae prevent complications. Traveler education on preventive measures remains essential.