Human infestation with rodent botfly larvae: a new route of entry?

A 3-year-old child was infested with two larvae of the rodent botfly (insect order Diptera, genus Cuterebra), one on the back and one on the neck. Both larvae produced tracklike lesions in the skin. After week 1, the back lesion did not develop further, but the neck lesion continued to enlarge and formed a boil-like lesion. Despite examination by several physicians, the case was not recognized as myiasis for more than 3 weeks. Details of the case are presented and discussed, including the possibility that infestation resulted from direct deposition of eggs or larvae on the patient.