Resumo Foi avaliada a eficácia larvicida do lotilaner (Credeli®) no tratamento de cães naturalmente infestados com larvas de Dermatobia hominis. Foram medicados 12 cães, apresentando pelo menos três larvas vivas de D. hominis. Os animais foram medicados por via oral com dose única não inferior a 20 mg/kg de lotilaner. Após a administração desse medicamento, os animais permaneceram em seus domicílios, e foram feitas observações para verificar o efeito larvicida 6 horas após o tratamento. Larvas vivas foram consideradas quaisquer parasitas que exibissem motilidade após a remoção. Para cada animal foi utilizada a fórmula: 100 x [(total de larvas vivas antes do tratamento - total de larvas vivas após o tratamento) /total de larvas vivas antes do tratamento] como critério para avaliar a eficácia do lotilaner. Foram contadas 98 larvas em 12 cães, com média de 8,1 larvas por animal. A eficácia do lotilaner foi de 80,6%. Dezenove larvas foram encontradas vivas, porém apresentando hipomobilidade e comportamento letárgico. No entanto, vale ressaltar que a avaliação foi realizada apenas 6 horas após a administração do medicamento. Lotilaner, administrado por via oral em dose única de 20 mg/kg, apresentou eficácia de 80,6%, seis horas após o tratamento de cães naturalmente infestados por D. hominis. Credeli® Credeli (Credeli® hominis 1 D 2 mgkg mg kg medicamento domicílios remoção fórmula 10 9 81 8 8, 806 80 80,6% letárgico entanto Lotilaner (Credeli 80,6 80,

Abstract An evaluation was made of the larvicidal efficacy of lotilaner (Credeli®) in the treatment of dogs naturally infested with Dermatobia hominis larvae. A total of 12 dogs presenting at least three live D. hominis larvae were medicated. The animals were medicated orally with a single dose of no less than 20 mg/kg lotilaner. After drug administration, the animals remained at their homes, and observations were made to verify the larvicidal effect 6 hours after treatment. Live larvae were considered any parasite that exhibited motility after removal. For each animal was using the formula: 100 x [(total of live larvae before treatment − total live larvae after treatment) /total of live larvae before treatment] as criteria for evaluating lotilaner efficacy. A total of 98 larvae were counted in 12 dogs, with an average of 8.1 larvae per animal. The effectiveness of lotilaner was 80.6%. Nineteen larvae were found alive, albeit presenting hypomobility and lethargic behavior. However, note that the evaluation was performed just six hours after administration of the drug. Lotilaner administered orally in a single dose of 20 mg/kg showed 80.6% efficacy six hours after treating dogs naturally infested with D. hominis. Credeli® Credeli (Credeli® 1 D 2 mgkg mg kg homes removal formula 10 9 81 8 8. 806 80 alive behavior However 80.6 (Credeli 80.

ABSTRACT: In order to study alternative ways of control of Dermatobia hominis fly larvae, three processes were tested: T1, cypermethrin 5% + chlorpyrifos 7% + citronellal 0.5% (Pour on); T2, trichlorfon powder dissolved at 2% in burnt oil passed on the nodules; T3, manual larva extraction. The study was conducted at Instituto de Zootecnia in Nova Odessa, São Paulo State, Brazil. In a dairy herd of 176 animals, 29 with at least one larvae were found, distributed in the three treatments. Each treatment’s efficacy percentage was based on the number of live botflies present after 14 days. The animals were observed on days +4, +7, +14 and +21, and new botflies and abscesses were annotated. All treatments presented high effectiveness (above 98%). New botflies were already seen in the first week after applying the three treatments, and on day 21, two abscesses in each chemical treatment were observed. Larva extraction was 100% effective, with no originating abscesses, and should be encouraged in small and medium-sized properties and those with resistant botflies to chemical products. ABSTRACT tested T1 T 5 7 05 0 0.5 Pour on) T2 2 nodules T3 Odessa State Brazil 17 found s 1 4 +4 +7 +1 21 +21 annotated above 98%. 98 98% . 98%) 100 effective mediumsized medium sized products 0. +2 9 10

RESUMO: Com a finalidade de estudar formas alternativas de controle de larvas da mosca Dermatobia hominis, foram testados: T1, cipermetrina 5% + clorpirifós 7% + citronelal 0,5% (Pour on); T2, triclorfon em pó, dissolvido a 2% em óleo queimado, passado sobre o nódulo; T3, extração manual das larvas. O estudo foi realizado no Instituto de Zootecnia, localizado em Nova Odessa, Estado de São Paulo, Brasil. Em um rebanho leiteiro com 176 animais, encontramos 29 com, pelo menos, uma larva que foram distribuídos nos três tratamentos. O percentual de eficácia foi baseado no número de bernes vivos após 14 dias da aplicação dos tratamentos. Os animais foram observados nos dias +4, +7, +14 e +21 e foram anotados novos bernes e abcessos. Todos os tratamentos apresentaram alta eficácia (acima de 98%). Logo na primeira semana, foram observados novos bernes em todos os tratamentos, e no 21º dia observamos dois abcessos em cada tratamento químico. A extração da larva foi 100% eficaz, não originando abscessos, devendo ser incentivada nas pequenas e médias propriedades, e naquelas com bernes resistentes a produtos químicos. RESUMO hominis testados T1 T 5 7 05 0 0,5 Pour on on) T2 pó 2 queimado nódulo T3 Zootecnia Odessa Paulo Brasil 17 menos 1 4 +4 +7 +1 21 +2 acima 98%. 98 98% . 98%) semana º químico 100 eficaz abscessos propriedades químicos 0, 9 10

ABSTRACT Human myases are ectoparasitic infections caused by larvae of several fly species. They present various clinical manifestations, affecting the skin, cavities and wounds. Myases prevail in tropical regions. A case is presented of furuncular myasis in a male 32-year-old tourist infected in a humid tropical area from the Pacific coastal region of Ecuador. The patient presented with a clinical status of 30 days' evolution, reporting an insect bite that grew to form a painless indurated pruritic nodule on the skin of his left flank of the abdomen. Physical examination found a 3 x 2 cm furuncular lesion surrounded by erythematous plaque and an open center which discharged a serosanguineous fluid with movement. A single larva was obtained by manual extraction, which was identified as Dermatobia hominis based on its external characteristics. The remaining physical examination and laboratory tests were normal. Tourist and work activities in these tropical areas expose people to the risk of contracting myasis. Information and prevention measures are therefore necessary.

RESUMEN Las miasis humanas son ectoparasitosis causadas por larvas de varias especies de moscas que producen distintas formas clínicas, afectan piel, cavidades y heridas. Estas prevalecen en regiones tropicales. Se presenta un caso de miasis foruncular en un hombre de 32 años, turista, infestado en una zona tropical húmeda de la región costera del Pacífico del Ecuador. Acude a consulta con un cuadro clínico de 30 días de evolución, y refiere picadura de insecto que creció hasta formar elevación indurada prurítica, no dolorosa, en piel de flanco izquierdo del abdomen. Al examen físico se observó una lesión foruncular de 3 x 2 cm rodeada de placa eritematosa con el centro abierto observándose un agujero central que descargaba un líquido sero-sanguinolento con movimientos. Por extracción manual se obtuvo una sola larva que por sus características externas se identificó como Dermatobia hominis. El resto del examen físico y exámenes de laboratorio fueron normales. Las actividades turísticas o de trabajo a estas zonas tropicales expone a las personas al riesgo de contraer miasis, por ende, es necesario información y medidas de prevención.

Abstract Background: Myiasis is an emerging disease caused by tissue invasion of dipteran larvae. In Uruguay, Cochliomyia hominivorax and Dermatobia hominis are the most frequent species. This study aimed to describe the epidemiological and clinical characteristics and the follow-up of children < 15 years hospitalized for myiasis in a reference center in Uruguay between 2010 and 2019. Methods: We conducted a descriptive and retrospective study by reviewing medical records. We analyzed the following variables: age, sex, comorbidities, origin, the month at admission, clinical manifestations, other parasitoses, treatments, complications, and larva species identified. Results: We found 63 hospitalized children: median age of 7 years (1 month-14 years), 68% of females. We detected risk comorbidities for myiasis (33%), of which chronic malnutrition was the most frequent (n = 6); 84% were from the south of the country; 76% were hospitalized during the summer. Superficial and multiple cutaneous involvements were found in 86%: of the scalp 50, furunculoid type 51, secondary to C. hominivorax 98.4%, and to D. hominis in 1.6%. As treatments, larval extraction was detected in all of them, surgical in 22%. Asphyctic products for parasites were applied in 94%, ether in 49. Antimicrobials were prescribed in 95%; cephradine and ivermectin were the most frequent. About 51% presented infectious complications: impetigo was found in 29, cellulitis in 2, and abscess in 1. Conclusions: Myiasis predominantly affected healthy schoolchildren during the summer months and was frequently associated with ectoparasites. Superficial infestation of the furuncle-like scalp by C. hominivorax was the most frequent form. Infectious complications motivated hospitalizations.

Resumen Introducción: La miasis es una enfermedad emergente producida por la invasión tisular por larvas de dípteros. En Uruguay, Cochliomyia hominivorax y Dermatobia hominis son las especies más frecuentes. El objetivo de este estudio fue describir las características epidemiológicas y clínicas, y el seguimiento, de niños menores de 15 años hospitalizados por miasis en un centro de referencia del Uruguay entre 2010 y 2019. Métodos: Se llevó a cabo un estudio descriptivo y retrospectivo mediante la revisión de las historias clínicas. Se analizaron las siguientes variables: edad, sexo, comorbilidad, procedencia, mes al ingreso, cuadro clínico, otras parasitosis, tratamientos, complicaciones y especie de larva identificada. Resultados: Se encontraron 63 casos de niños hospitalizados, con una mediana de edad de 7 años (rango: 1 mes a 14 años) y el 68% de sexo femenino. Se identificó comorbilidad de riesgo para miasis (33%), siendo la desnutrición crónica la más frecuente (n = 6). El 84% eran procedentes del sur del país y el 76% fueron hospitalizados en los meses estivales. Se encontró afectación cutánea superficial y múltiple en el 86%: de cuero cabelludo en 50, de tipo forunculoide en 51, secundaria a C. hominivorax en el 98.4% y a D. hominis en el 1.6%. Se realizó extracción larvaria en todos los casos, que fue quirúrgica en el 22%. Se aplicaron productos asfícticos para parásitos en el 94%, con éter en 49 niños. Se prescribieron antimicrobianos en el 95%; los más usados fueron cefradina e ivermectina. El 51% presentaron complicaciones infecciosas: 29 impétigo, 2 celulitis y 1 absceso. Conclusiones: La miasis afectó predominantemente a escolares sanos y durante los meses estivales, y se encontró frecuentemente asociada con ectoparasitosis. La infestación superficial del cuero cabelludo de tipo forunculoide por C. hominivorax fue la forma más frecuente. Las complicaciones infecciosas motivaron las hospitalizaciones.

ABSTRACT Background: myiasis is any condition caused by larval stages of different types of diptera, which attack tissues and organs of vertebrate animals. The diptera Dermatobia hominis is located geographically in the territories corresponding to South America, Central America and Mexico. In the Caribbean, Europe, Asia and Africa, the reports given do not show data of local origin, rather it is known through the anamnesis the trip by the affected individuals to the mentioned areas. Objective: to report the case of a patient diagnosed with myiasis caused by Dermatobia hominis, describing the clinical, therapeutic and evolution of the case. Case report: male patient, foreigner, coming from the city of London, who reveals pain located in the lower back and lower left limb with local volume increase. Physical examination revealed presence of furunculoid lesion. Emollient solution in lesions is prescribed and the larvae of Diptera are surgically removed. Conclusions: myiasis is an entity that must be known by the doctor who works in areas where the presence of diptera is high. The knowledge of risk areas is fundamental in the treatment of patients traveling to endemic areas.

RESUMEN Fundamento: la miasis es toda afección causada por estadios larvarios de diferentes tipos de dípteros, los cuales atacan a tejidos y órganos de animales vertebrados. El díptero Dermatobia hominis es localizado geográficamente en los territorios correspondientes a Sudamérica, Centroamérica y México. En el Caribe, Europa, Asia y África, los reportes otorgados no muestran data de origen local, más bien se conoce por medio de la anamnesis el viaje por parte de los individuos afectados a las zonas mencionadas. Objetivo: reportar el caso de un paciente diagnosticado con miasis causada por Dermatobia hominis, se describe la clínica, terapéutica y evolución del caso. Presentación del caso: paciente masculino, extranjero, procedente de la ciudad de Londres, que da a conocer dolor localizado en región lumbar y en miembro inferior izquierdo con aumento de volumen local. Al examen físico se constató presencia de lesión furunculoide. Se prescribe colocación de solución emoliente en lesiones y se procede a retirar por medio quirúrgico a larvas de díptero. Conclusiones: la miasis es una enfermedad que debe conocerse por parte del médico que labora en áreas donde la presencia de dípteros es alta. El conocimiento de las áreas de riesgo es fundamental en el tratamiento de pacientes que viajan a zonas endémicas.

Resumo Dermatobia hominis é um parasito amplamente distribuído nas regiões neotropicais. A fase parasitária do ciclo é caracterizada pela formação de um nódulo subcutâneo no hospedeiro, que pode promover infestação por outros dípteros e infecções cutâneas. O objetivo deste relato é registrar o parasitismo por D. hominis em Panthera onca de vida livre, capturado no pantanal brasileiro e determinar fatores biológicos e meteorológicos significativos que podem influenciar a presença de parasitismo larval em onças-pintadas selvagens capturadas. Entre 2011 e 2020, 34 onças-pintadas foram capturadas e examinadas manualmente em busca de lesões características de miíase. Por compressão manual nos nódulos subcutâneos, larvas classificadas morfologicamente como D. hominis (primeiro e terceiro instares) foram coletadas de 13 onças-pintadas. Uma regressão logística multinomial mostrou que onças-pintadas adultas tinham chances 16,49 vezes maiores de serem parasitadas do que subadultos. Assim, onças-pintadas capturadas na temporada de julho a setembro têm probabilidade 34,01 e 11,42 vezes maior de serem parasitadas em comparação com as temporadas de outubro a dezembro e de abril a junho, respectivamente, o que está associado à alta precipitação total mensal na temporada anterior. O presente estudo é o primeiro a descrever parasitismo por larvas de D. hominis em onças-pintadas.

Abstract Dermatobia hominis is a parasite widely distributed in neotropical regions. The parasitic phase of the cycle is characterized by the formation of a subcutaneous nodule in the host, which can promote infestation by other dipterans and skin infections. The aim of this report is to register parasitism by D. hominis in free-ranging Panthera onca captured in the Brazilian wetland and to determine significant biological and meteorological factors that are likely to influence the presence of larval parasitism in captured wild jaguars. Between 2011 to 2020, 34 jaguars were captured and examined manually by searching for lesions characteristic of myiasis. By manual compression in the subcutaneous nodules, larvae morphologically identified as D. hominis (first and third instars) were collected from 13 jaguars. A multinomial logistic regression showed that adult jaguars had 16.49-fold higher odds of being parasitized than subadults. Thus, jaguars captured in the season of July–September have 34.01- and 11.42-fold higher odds of being parasitized compared to the seasons of October–December and April–June, respectively, which is associated with high total monthly precipitation in the previous season. The present study is the first to describe parasitism by D. hominis larvae in jaguars.

ABSTRACT Myiasis represents a group of neglected tropical diseases caused by the infestation of vertebrate tissues by dipterous larvae. We herein report an imported case of foruncular myasis caused by Dermatobia hominis in Mexico City. The species was confirmed by DNA sequencing and phylogenetic reconstruction analysis.

ABSTRACT Myiasis caused by Dermatobia hominis , the human botfly, is frequent in the Americas, however, scarce morphological and molecular information exist regarding this dipteran. We describe three cases in urban areas of Mexico were D. hominis is not endemic. Morphological and genetic identification were performed using the cytochrome oxidase I as a molecular marker. The mitochondrial cytochrome oxidase I gene is useful for inferring the genetic divergence of D. hominis .

ABSTRACT CONTEXT: Myiasis is caused by larval infestation that usually occurs in exposed wounds. Dermatobia hominis is the most common fly species responsible for this parasitic infection. Genital piercing is an ornamental practice used in certain social circles. At placement, it transverses the skin surface and, as such, may be related to complications. CASE REPORT: We report a case of a 31-year-old man with a history of wound infection secondary to genital piercing who was exposed to an environment with flies, leading to myiasis. Mechanical removal and systemic antiparasitic drugs are possible treatments for myiasis. However, prevention that includes wound cleaning and dressing is the best way to avoid this disease. CONCLUSIONS: Genital piercing can lead to potential complications and myiasis may occur when skin lesions are not properly treated.

Resumen Las miasis son infestaciones parasitarias en humanos y animales causadas por estadios larvarios de moscas; son de distribución mundial y son una enfermedad frecuente en nuestro medio. En la literatura solo existen algunos casos reportados; por lo cual, su verdadera incidencia es difícil de establecer debido al sub-registro y ausencia de tipificación de larvas. Objetivo. Identificar, clasificar y caracterizar morfológicamente las larvas causantes de miasis como base para futuras aplicaciones e intervenciones en salud pública. Materiales y métodos. Se analizaron 262 larvas obtenidas del cepario de la Universidad Colegio Mayor de Cundinamarca que se encontraban almacenadas sin ningún tipo de identificación, organización e historia. Resultados. Se realizó la identificación con estereoscopio y claves dicotómicas de las familias Cuterebridae, Oestridae y Calliphoridae. Las especies encontradas son asociadas a diferentes tipos de miasis humana y animal, entre ellas; Dermatobia hominis, Dermatobia cyaniventris, Oestrus ovis, Cochliomyia hominivorax y Lucilia sp. Discusión. Las formas más comunes de este parasitismo son cavitarias y forunculares; causadas por Dermatobia hominis y Cochliomyia hominivorax, sin embargo, éstas no son de reporte obligatorio ante los servicios médicos humanos. Por lo tanto, es indispensable la información y capacitación de profesionales de la salud para la correcta conservación, identificación y reporte de las larvas extirpadas en pacientes con miasis, hasta el punto de ser considerada una práctica de rutina en el diagnóstico clínico.

Abstract Myiasis is the parasitic infestation of the body in humans and animals caused by larval stages of flies; such diseases are worldwide distributed and they are frequent in our environment. In the literature, there are only a few reports; therefore, its real incidence is difficult to be established due to sub-recorded cases and absence of larval typing. Objective. To identify, classify and morphologically characterize myasis-producing larvae of importance in public health. Material and methods. 262 larvae were analysed, obtained from the Universidad Colegio Mayor de Cundinamarca that were stored without any identification, organization and history. Results. Larvae were identified using a stereomicroscope and morphology was based on dichotomous keys of the Cuterebridae, Oestridae and Calliphoridae families. The species found are associated with different types of myiasis, including; Dermatobia hominis, D. cyaniventris, Oestrus ovis, Cochliomyia hominivorax, C. macellaria and Lucilia spp. Discussion. As a conclusion, we found that cavitary and foruncular were the most common forms of this parasitism in the collection from the Universidad Colegio Mayor de Cundinamarca. and that Dermatobia hominis and Cochliomyia hominivorax were the main involved species; however, these are not mandatory reporting species for medical services. Therefore, generating information about preservation, identification and recording of myasis-producing larvae, as well as training of professionals in public health might be considered as a routine practice for an accurate clinical diagnosis.

Abstract INTRODUCTION: The muscoid fly Dermatobia hominis causes cutaneous myiases in mammals. Females of this species use a vector to carry their eggs to the host. This note describes Anopheles konderi acting as phoretic vector for D. hominis. METHODS: A female A. konderi carrying D. hominis was collected using light traps in Oriximiná, Pará, Brazil. The A. konderi specimen was identified at morphological and molecular levels. RESULTS: Eight eggs of D. hominis were observed on the Anopheles konderi female. CONCLUSIONS: Anopheles konderi, only the third Anopheles species recorded as a phoretic vector, may be a potential vector of D. hominis.

RESUMO É apresentada uma checklist de espécies de Heleomyzidae, Neriidae e Oestridae do Estado de Mato Grosso do Sul, Brasil. Heleomyzidae, família representada no Brasil por 13 espécies, possui registro apenas de Neorhinotora aristalis (Fischer) para o Estado de Mato Grosso do Sul. Duas espécies de Neriidae, Longina abdominalis Wiedemann e Nerius pilifer Fabricius, das 15 com registro de ocorrência para o Brasil, foram identificadas. A família Oestridae é representada no Estado por duas espécies distribuídas em dois gêneros: Dermatobia hominis (Linnaeus Jr.) e Cuterebra rufiventris Macquart.

ABSTRACT We provide a checklist of flies of the families Heleomyzidae, Neriidae, and Oestridae in the State of Mato Grosso do Sul, Brazil. Heleomyzidae are represented in Brazil by 13 species, and only Neorhinotora aristalis (Fischer) is recorded to the state of Mato Grosso do Sul. The two reported species of Neriidae, Longina abdominalis Wiedemann and Nerius pilifer Fabricius, are among the 15 species now known in Brazil. The Oestridae family is represented by two species distributed in two genera: Dermatobia hominis (Linnaeus Jr.) and Cuterebra rufiventris Macquart.

Resumo A miíase furuncular é uma infecção parasitária causada pelas larvas de insetos Dipterans após penetrar na pele saudável, causando um nódulo eritematoso contendo um poro central. Adicionalmente, uma sensação de movimento e dor intermitente pode ser sentida. Miíase furuncular acometendo a região oral e perioral é rara, frequentemente causando erros diagnósticos. Este artigo descreve um caso raro de miíase furuncular em um paciente do sexo masculino de 20 anos de idade que apresentou um nódulo eritematoso no lábio inferior. Uma cirurgia exploratória foi indicada para fins diagnósticos e curativos, com sucesso observado já na sessão seguinte. Após 3 anos de acompanhamento, o paciente está recuperado, sem sinais clínicos ou sintomas da doença.

Abstract Furuncular myiasis is a parasitic infection caused by the larvae of Dipteran insects after penetrating healthy skin, causing an erythematous nodule with a central pore. Additionally, the patient may feel a sensation of movement and intermittent pain. Furuncular myiasis affecting the oral and perioral region is rare, usually leading to misdiagnosis. This paper describes a rare case of furuncular myiasis in a 20-year-old healthy male patient who presented an erythematous nodule in the lower lip. An exploratory surgery was indicated for both diagnostic and curative purposes, with successful healing observed in the following appointment. After 3 years of follow-up, the patient is recovered, with no clinical signs or symptoms of the disease.

Se presenta para paciente femenina, con clínica de miasis cutánea furuncular, confirmación entomológica de estadio parasitario obligado L3 de Dermatobia hominis. Se señalan los detalles clínicos, epidemiológicos y de laboratorio de mayor relevancia. Se discuten aspectos relacionados con la parasitosis.

In this article, the clinical, epidemiological and the most important laboratory details are displayed, in a female patient with cutaneous myiasis furuncular clinic, with entomological confirmation of L3 Dermatobia hominis of parasitic stage required. The parasitosis aspects are discussed.

Las miasis son entidades reconocidas en el ambiente rural, se presentan generalmente en adultos mayores y pueden comprometer desde piel y cuero cabelludo hasta mucosas. Los responsables son insectos de la clase díptera cuyas larvas se desarrollan en los tejidos vivos del hospedero que infestan. Se presenta el caso de una paciente de 82 años con lesión foruncular en rodilla derecha asociada a miasis por Dermatobia hominis . Posteriormente a la extracción hubo recuperación total después de 3 semanas de seguimiento. Se realizó un estudio ecoepidemiológico del entorno de vida de la paciente, encontrando todos los factores ambientales que favorecen el desarrollo de las miasis

Myiasis includes several entities recognized in the rural environment. It occurs generally in older adults and may compromise locations from the skin and scalp to mucous membranes. The responsibles are insects of the Diptera class, whose larvae develop in living tissues thus infesting of the host. We report the case of an 82-year-old patient with a furuncular right knee lesion associated with Dermatobia hominis myiasis. Following the extraction, full recovery was achieved after a 3-week follow-up. An eco-epidemiological study of the patient´s environment revealed all factors that favor the development of myiasis.