Mature larvae can be squeezed out or removed with tweezers. Infection is by direct skin contact with sandy soil or with clothing that has been put on the ground to dry and had eggs laid on it. A ”maggot-like” structure was found and identified as the third larval stage of the mango fly ( Cordylobia anthropophaga) ( Figure 1b), which is thought to be the principal cause of furuncular myiasis in sub-Saharan Africa. We noted two firm, elastic, furuncular subcutaneous swellings, 1 to 2 cm in diameter, each with a central opening and partly drained after treatmen t by a primary care physician ( Figure 1a). He had often gone around with his upper body unclad and had put his washing out to dry close to vegetation.
He reported noticing a “crawling sensation” around his shoulder blades during the last few days of his stay. A 67-year-old man presented with subcutaneous swellings on his back after returning from a 3-week holiday in Senegal.
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