title: External Ophthalmomyiasis Due to Dermatobia hominis Masquerading As Orbital Cellulitis.
abstract: Human parasitization by oestrid flies is a rare occurrence. The authors report a case of ophthalmomyiasis externa caused by Dermatobia hominis infestation in a 10-year-old female. Misdiagnosis resulted in a delay in treatment, which can be potentially devastating in cases of orbital or ocular involvement. The treatment of choice is early surgical removal of the larvae to minimize the inflammatory response and the extent of surgery. Patients should also be screened for multiple sites of cutaneous infestation. When the organism is completely excised, the prognosis is good.
authors.affiliation: *King Saud University, Riyadh, Saudi Arabia; and †Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida, U.S.A.
authors.forename: Norah
authors.initials: N
authors.lastname: Alsaif
authors.forename: Sophie
authors.initials: S
authors.lastname: Liao
authors.forename: David T
authors.initials: DT
authors.lastname: Tse
mesh_terms: D000818:Animals; D002648:Child; D003937:Diagnosis, Differential; D015822:Eye Infections, Parasitic / Q000175:diagnosis* / Q000469:parasitology; D005260:Female; D006801:Humans; D007814:Larva; D009198:Myiasis / Q000175:diagnosis* / Q000469:parasitology; D054517:Orbital Cellulitis / Q000175:diagnosis*; D012876:Skin Diseases, Parasitic / Q000175:diagnosis* / Q000469:parasitology