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Cordylobia rodhaini infestation of the breast: Report of a case mimicking a breast abscess

INTRODUCTION: 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. PRESENTATION OF CASE: A 17-year-old female presented with a nodular ulce...

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Detalles Bibliográficos
Autores principales: Grassi, Veronica, Butterworth, James William, Latiffi, Layloma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013247/
https://www.ncbi.nlm.nih.gov/pubmed/27597396
http://dx.doi.org/10.1016/j.ijscr.2016.07.018
Descripción
Sumario:INTRODUCTION: 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. PRESENTATION OF CASE: A 17-year-old female presented with a nodular ulcerative lesion in her left breast 14 days 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 2 h and gentle manipulation the larvae was removed successfully and the patient made a good recovery. DISCUSSION: 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. CONCLUSION: 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.