title: Human botfly infestation: the tip of the iceberg.
abstract: A retired man in his 60s was referred to the on call orthopaedic team by his general practitioner following several attempts to extricate a human botfly larva from his forearm. While on holiday in Belize with his daughter 8 weeks previously they both were bitten by some insects. She developed an infestation which was treated locally. Once back in the UK, he subsequently reported of localised itching and discomfort. A botfly larva was successfully removed in the emergency department following local anaesthetic infiltration.
authors.affiliation: Department of Trauma and Orthopaedics, Glan Clwyd Hospital, Rhyl, UK.
authors.forename: Jude Chiedu
authors.initials: JC
authors.lastname: Nduka
authors.affiliation: Department of Trauma and Orthopaedics, Glan Clwyd Hospital, Rhyl, UK.
authors.forename: Rory
authors.initials: R
authors.lastname: Mcnair
mesh_terms: D000368:Aged; D000818:Animals; D001531:Belize; D004175:Diptera; D005542:Forearm / Q000601:surgery*; D006801:Humans; D007814:Larva; D008297:Male; D010272:Parasitic Diseases / Q000150:complications / Q000601:surgery*; D011537:Pruritus / Q000209:etiology; D014195:Travel