Dermatobia Hominis
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The human botfly, ''Dermatobia hominis'' (
Greek Greek may refer to: Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group *Greek language, a branch of the Indo-European language family **Proto-Greek language, the assumed last common ancestor of all kno ...
δέρμα, skin + βίος, life, and
Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
'' hominis'', of a human), is a species of
botfly Botflies, also known as warble flies, heel flies, and gadflies, are flies of the family Oestridae. Their larvae are internal parasites of mammals, some species growing in the host's flesh and others within the gut. '' Dermatobia hominis'' is ...
whose larvae parasitise humans (in addition to a wide range of other animals, including other primates). It is also known as the torsalo or American warble fly, though the warble fly is in the genus ''Hypoderma'' and not ''Dermatobia'', and is a parasite on
cattle Cattle (''Bos taurus'') are large, domesticated, bovid ungulates widely kept as livestock. They are prominent modern members of the subfamily Bovinae and the most widespread species of the genus '' Bos''. Mature female cattle are calle ...
and deer instead of humans. ''Dermatobia'' fly eggs have been shown to be vectored by over 40 species of
mosquito Mosquitoes, the Culicidae, are a Family (biology), family of small Diptera, flies consisting of 3,600 species. The word ''mosquito'' (formed by ''Musca (fly), mosca'' and diminutive ''-ito'') is Spanish and Portuguese for ''little fly''. Mos ...
es and muscoid flies, as well as one species of
tick Ticks are parasitic arachnids of the order Ixodida. They are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, and species, but can become larger when engorged. Ticks a ...
(however, the source for this is somewhat old — 2007 — and slightly more recent literature seems to indicate they don't need a particular species of tick, or at least makes no mention of them only being able to use one as a vector). The female captures the mosquito and attaches its eggs to its body, then releases it. Either the eggs hatch while the mosquito is feeding and the larvae use the mosquito bite area as the entry point, or the eggs simply drop off the muscoid fly when it lands on the skin. The larvae develop inside the subcutaneous layers, and after about eight weeks, they drop out to pupate for at least a week, typically in the soil. The adults are large flies lacking mouthparts (as is true of other oestrid flies). This species is native to the
Americas The Americas, sometimes collectively called America, are a landmass comprising the totality of North America and South America.''Webster's New World College Dictionary'', 2010 by Wiley Publishing, Inc., Cleveland, Ohio. When viewed as a sing ...
from southeastern
Mexico Mexico, officially the United Mexican States, is a country in North America. It is the northernmost country in Latin America, and borders the United States to the north, and Guatemala and Belize to the southeast; while having maritime boundar ...
(beginning in central
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) to northern
Argentina Argentina, officially the Argentine Republic, is a country in the southern half of South America. It covers an area of , making it the List of South American countries by area, second-largest country in South America after Brazil, the fourt ...
, and
Uruguay Uruguay, officially the Oriental Republic of Uruguay, is a country in South America. It shares borders with Argentina to its west and southwest and Brazil to its north and northeast, while bordering the Río de la Plata to the south and the A ...
, though it is not abundant enough (nor harmful enough) to ever attain true pest status. Normally the greatest risk they pose to humans is increasing the chances of infection. Since the fly larvae can survive the entire eight-week development only if the wound does ''not'' become infected, patients rarely experience infections unless they kill the larva without removing it completely.


Remedies

The easiest and most effective way to remove botfly larvae is to apply
petroleum jelly Petroleum jelly, petrolatum (), white petrolatum, soft paraffin, or multi-hydrocarbon, CAS number 8009-03-8, is a semi-solid mixture of hydrocarbons (with carbon numbers mainly higher than 25), originally promoted as a topical ointment for i ...
over the location, which prevents air from reaching the larva, suffocating it. It can then be removed with tweezers safely after a day. White glue mixed with
pyrethrin The pyrethrins are a class of organic compounds normally derived from ''Chrysanthemum cinerariifolium'' that have potent Insecticide, insecticidal activity by targeting the nervous systems of insects. Pyrethrin naturally occurs in chrysanthemum f ...
or other safe insecticides and applied to the spot of swelling on the scalp will kill the larvae within hours, as they must keep an air hole open, so will chew through the dried glue to do this, consuming the insecticide in the process. Venom extractor syringes can remove larvae with ease at any stage of growth. A larva has also been successfully removed by first applying several coats of
nail polish Nail polish (also known as nail varnish in British English or nail enamel) is a lacquer that can be applied to the human Nail (anatomy), fingernails or toenails to decorate and protect the nail plates. The formula has been revised repeatedly t ...
to the area of the larva's entrance, weakening it by partial
asphyxia Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects all the tissues and organs, some more rapidly than others. There are m ...
tion. Covering the location with
adhesive tape Adhesive tape is one of many varieties of backing materials coated with an adhesive. Several types of adhesives can be used. Types Pressure-sensitive tape Pressure-sensitive tape, PSA tape, self-stick tape or sticky tape consists of a pre ...
would also result in partial asphyxiation and weakening of the larva, but is not recommended because the larva's breathing tube is fragile and would be broken during the removal of the tape, leaving most of the larva behind. Oral use of
ivermectin Ivermectin is an antiparasitic drug. After its discovery in 1975, its first uses were in veterinary medicine to prevent and treat heartworm and acariasis. Approved for human use in 1987, it is used to treat infestations including head lice ...
, an antiparasitic
avermectin The avermectins are a group of 16-membered Macrolide, macrocyclic lactone derivatives with potent anthelmintic and Insecticide, insecticidal properties. These naturally occurring compounds are generated as fermentation products by ''Streptomyces a ...
medicine, has proven to be an effective and noninvasive treatment that leads to the spontaneous emigration of the larva. This is especially important for cases where the larva is located in inaccessible places such as inside the inner
canthus The canthus (: canthi, palpebral commissures) is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure. The ...
of the eye.


See also

*
Botfly Botflies, also known as warble flies, heel flies, and gadflies, are flies of the family Oestridae. Their larvae are internal parasites of mammals, some species growing in the host's flesh and others within the gut. '' Dermatobia hominis'' is ...
*'' Cochliomyia hominivorax'' *'' Cordylobia anthropophaga'' *
Human parasite Human parasites are divided into endoparasites, which cause infection inside the body, and ectoparasites, which cause infection superficially within the skin. Parasites in general are hosts-dependent organisms that obtain nutrients while potential ...
* List of parasites of humans *
Myiasis Myiasis ( ), also known as flystrike or fly strike, is the parasitic infestation of the body of a live animal by fly larvae (maggots) that grow inside the host while feeding on its Biological tissue, tissue. Although flies are most commonly attr ...


References


External links


Case Report: Insect Bite Reveals Botfly Myiasis in an Older Woman
on the UF / IFAS Featured Creatures Web site * * * * *{{cite journal, vauthors=Stephanie K. Hill, C. Roxanne Connelly, title=Human Botfly - Dermatobia Hominis,
University Of Florida, Human Botfly - Dermatobia Hominis
{{Arthropod infestations {{Taxonbar, from=Q941965 {{Authority control Insects of South America Arthropods of Colombia Oestridae Parasitic flies Parasitic arthropods of humans Parasites of primates Parasitic arthropods of mammals Taxa named by Carl Linnaeus the Younger Insects described in 1781