Cutaneous myiasis.
Although cutaneous myiasis remains uncommon in North America, any traveler to the tropics may return with this ailment. A history of travel to a tropical country, a persistent pruritic lesion resembling a boil but having a dark central punctum with seropurulent or serosanguineous drainage, and complaints of a crawling sensation in the area of the lesion should lead the physician to consider myiasis. Treatment is directed at prompt removal of the fly maggot by incision and extraction.
D000293:Adolescent; D000328:Adult; D001531:Belize; D006166:Guatemala; D006801:Humans; D008297:Male; D009198:Myiasis / Q000469:parasitology / Q000473:pathology / Q000601:surgery; D012536:Scalp Dermatoses / Q000469:parasitology / Q000473:pathology / Q000601:surgery; D012876:Skin Diseases, Parasitic / Q000469:parasitology / Q000473:pathology / Q000601:surgery; D014195:Travel; D014481:United States