Furuncular myiasis caused by Wohlfahrtia magnifica in a healthy child: A case report

Rationale: Myiasis is more commonly found in ulcerated tissues and tropical climates, although it can also occur in non-tropical climates and in healthy individuals. Patient concerns: The patient was a 4-year-old girl who presented to the emergency department with three nodular lesions on the skull, associated with edema, tenderness, pain, and purulent drainage. Diagnosis: Furuncular myiasis caused by Wohlfahrtia magnifica . Interventions: Antibiotic therapy was initiated, and the patient was taken to the operating room for larval removal. Mupirocin ointment and petroleum jelly were applied daily. Three days later, a second operation was performed to remove the remaining live larvae from the tissue. Outcomes: After 14 days of treatment, the patient was cured and discharged. Lessons: Although furuncular myiasis is more commonly observed in ulcerated and necrotic tissues, it can also occur in healthy individuals, particularly in the absence of proper hygiene, even in non-tropical regions.