Dermatobia hominis (botfly) infestation of the lower extremity: a case report.

We present a report of myiasis, which is the infestation of the body by the larva of flies. In this particular case the patient traveled to Belize and was infested in her foot and leg by Dermatobia hominis or the human botfly. Treatment was initiated once she returned to the United States. She ultimately underwent surgical excision of the larva, which was noted to be alive and moving upon removal. This is a rare larval infestation in humans, but is frequently seen in domestic and livestock animals in Central and South America. With increased international travel, the foot and ankle surgeon should be aware of this parasitic infection in recent travelers to Central and South American countries. ACFAS Level of Clinical Evidence: 4.