She was discharged with antibiotics to prevent secondary infection with no further follow-up. The larvae were found to be Cordylobia anthropophaga. During examination, two maggots were expressed from the abscesses by applying lateral pressure to each lesion. She did not complain of systemic symptoms and was otherwise fit and healthy with no significant past medical history. We report an unusual case of multiple abscesses in a 32-year-old white British woman presenting to our Emergency department in the UK after returning from a holiday in The Gambia, West Africa.
From the current literature, only 12 cases were reported in the UK. However, with an increase in international tourism, there is a significant rise in exotic infection in non-endemic areas which can pose a diagnostic challenge to doctors and potentially lead to delay in treatment. Furuncular myiasis is a parasitic infection of a live mammal by fly larvae commonly seen in Africa.
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