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Case Study
Cutaneous infestation of the scrotum with botfly larva from the order Dioptera, family Cuterebridae, species Dermatobia hominis is extremely rare. The first reported case of scrotal myiasis in the United States of America is described here. There is increased potential for human infestation with botfly larva (Dermatobia hominis), due to a more affluent and mobile population traveling to tropical areas for exotic vacations where the botfly is endemic. Urology nurses in a clinical setting should be aware of patients with unusual clinical presentations involving the genitourinary system.
Traveling to idyllic sites for exotic vacations has increased among a more mobile and affluent American society. As a result, potential exposure and acquisition of unique and unfamiliar tropical diseases has increased (Sweis, Griffith, & Pensler, 1997). Early recognition of unique and unusual tropical medical problems by health care providers in the United States may prevent clients from suffering unnecessary physical and psychological duress through timely and appropriate treatment. The purpose of this article is to report the case of a 48-- year-old male with cutaneous infestation of the scrotum with two human Botfly larvae (Dermatobia hominis) after a vacation to Central America.
Cutaneous infestation with Botfly lava (Dermatobia hominis) is common in the tropical regions of Central and South America. Typically, various members of the order Dioptera and family Cuterebridae victimize rodents and livestock. Infestation of humans is rare and is generally due to an accidental exposure (Rodriguez & Rashid, 2001). Generally, infestations have involved the head, torso, extremities, and occasionally the periorbital areas. Infestation of the human scrotum remains extremely rare. This case report describes, to the best of our knowledge, the second case of Botfly larval infestation of the scrotum.
Implications for Urology Nurses
There is a need for urology nurses to be aware of unique and unusual tropical diseases, especially among clients who have recently returned from idyllic tropical vacation spots outside the United States. As the possibility increases for rare and unusual diseases to avail themselves, urology nurses should consider less obvious disease processes when encountering unique or unusual clinical presentations.
Life Cycle of Botfly
The human botfly (Dermatobia hominis) is a nonbiting fly indigenous to Mexico, Central America, and South America. Infestation of a host does not occur...