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Journal of Clinical Microbiology, December 2003, p. 5810-5812, Vol. 41, No. 12
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.12.5810-5812.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Service de Microbiologie,1 Service de Pneumologie,2 Service des Urgences, Hôtel-Dieu, AP-HP, Université Paris VI, 75181 Paris Cedex 04,3 Laboratoire de Bactériologie Moléculaire et Médicale, Institut Pasteur, 75724 Paris Cedex 15, France,4 U.S. Naval Medical Research Unit-2, Jakarta, Indonesia5
Received 31 March 2003/ Returned for modification 1 June 2003/ Accepted 30 June 2003
Myiasis is the infestation of vertebrate tissues with fly larvae (Diptera). Most human cases in North America are subcutaneous forms due to Dermatobia hominis imported from Central and South America. Human cases of myiasis acquired in North America are rare and are primarily subdermal or ophthalmologic forms of infestation caused by early stages of Cuterebra larvae. We report an unusual case of tracheopulmonary myiasis, resulting from the in situ development of a mature cuterebrine larva associated with high eosinophilia. Only two other cases of tracheopulmonary cuterebrid myiasis have been reported in humans, and they are reviewed herein. Cuterebra myiasis (cuterebrosis) remains a rare and aberrant cause of tracheopulmonary disease and is a newly described cause of eosinophilia in humans.
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