title: A unique case of facial burn superinfected with Dermatobia Hominis larvae resulting in a bilateral enucleation of the eyes.
abstract: We present a case of a female Ecuadorian patient who presented a deep facial burn injury complicated with a severe infestation of Dermatobia Hominis larvae. The burn injury was complicated by severe myiasis attributable to the poor management of the wound received at home, using tropical plants, which caused a secondary infection and severe necrosis of the tissue involving the forehead, cheeks, chin, scalp, nose, mouth and the eyes resulting in a bilateral enucleation and long inpatient hospital care.
authors.affiliation: Attending Physician, Department of Dermatology, Hospital San Francisco de Quito, Ecuador.
authors.forename: Victor Hugo
authors.initials: VH
authors.lastname: Pinos
authors.affiliation: Association Professor, Faculty of Medicine, Department of Physiology, Universidad de las Américas, Ecuador e.ortizprado@gmail.com.
authors.forename: Esteban
authors.initials: E
authors.lastname: Ortiz-Prado
authors.affiliation: Resident, Department of Plastic Surgery, Hospital Eugenio Espejo, Ecuador.
authors.forename: Carlos
authors.initials: C
authors.lastname: Bermeo
authors.affiliation: Resident, Department of Plastic Surgery, Hospital Eugenio Espejo, Ecuador.
authors.forename: Juan
authors.initials: J
authors.lastname: León
authors.affiliation: Research Associate, Universidad Yachay, Ecuador.
authors.forename: Luciana
authors.initials: L
authors.lastname: Armijos
authors.affiliation: Resident, Department of Plastic Surgery, Hospital Eugenio Espejo, Ecuador.
authors.forename: Estibaliz
authors.initials: E
authors.lastname: Almeida
mesh_terms: D000368:Aged; D000818:Animals; D002056:Burns / Q000150:complications*; D003937:Diagnosis, Differential; D004175:Diptera; D004484:Ecuador; D015353:Eye Enucleation; D005145:Face; D005260:Female; D006801:Humans; D007814:Larva / Q000166:cytology; D009198:Myiasis / Q000150:complications / Q000175:diagnosis* / Q000469:parasitology; D012876:Skin Diseases, Parasitic / Q000150:complications / Q000175:diagnosis* / Q000469:parasitology; D015163:Superinfection / Q000175:diagnosis
keywords: Dermatobia Hominis; Ecuador; Myiasis; debridement; larvae infestation