Cordylobia rodhaini infestation of the breast: Report of a case mimicking a breast abscess.
BACKGROUND
Myiasis, parasitic infestation of the body by fly larvae, caused by the Cordylobia rodhaini is very rare with only fourteen cases published since 1970. We present a rare case of myiasis mimicking a breast abscess.


METHODS
A 17-year-old female presented with a nodular ulcerative lesion in her left breast 14days following a trip to Ghana. She had been initially unsuccessfully treated with the antibiotic flucloxacillin following a misdiagnosis of a breast abscess. Following application of Vaseline to the breast wound, covering the wound for 2h and gentle manipulation the larvae was removed successfully and the patient made a good recovery.


CONCLUSIONS
Presenting as an inflammatory papule with central opening oozing serosanguinous fluid myiasis secondary to C. rodhaini can easily be mistaken for a breast abscess, often avoiding detection by unsuspecting surgeons on initial assessment. In turn ineffective antibiotic treatment is often prescribed leading to further disease progression and associated morbidity.


CONCLUSIONS
Myiasis secondary to C. rodhaini is a rare but important differential surgeons should consider in women presenting with an inflammatory breast lesion with a recent history of foreign travel to ensure timely diagnosis and treatment. Ultrasound imaging can be useful in confirming diagnosis and avoiding treatment delays.
Princess Royal University Hospital, Farnborough Common, Orpington, Kent, Greater London BR6 8ND, United Kingdom.
Veronica
V
Grassi
Princess Royal University Hospital, Farnborough Common, Orpington, Kent, Greater London BR6 8ND, United Kingdom. Electronic address: jamesfomsf@gmail.com.
James William
JW
Butterworth
Princess Royal University Hospital, Farnborough Common, Orpington, Kent, Greater London BR6 8ND, United Kingdom.
Layloma
L
Latiffi
Breast abscess; Cordylobia rodhaini; Fly larvae; Myiasis