Human scrotal myiasis: botfly infestation.

Cutaneous infestation of the scrotum with botfly larva from the order Dioptera, family Cuterebridae, species Dermatobia hominis is extremely rare. The first reported case of scrotal myiasis in the United States of America is described here. There is increased potential for human infestation with botfly larva (Dermatobia hominis), due to a more affluent and mobile population traveling to tropical areas for exotic vacations where the botfly is endemic. Urology nurses in a clinical setting should be aware of patients with unusual clinical presentations involving the genitourinary system.