Cutaneous tumbu fly myiasis in a returning child traveller and a novel EMLA-assisted extraction technique in paediatric emergency care.
Prav Hamal, Vanessa Merrick, Ian Maconochie et al.
✦ AI-curated · Sources linked
Case in brief
A toddler presented with cutaneous myiasis and cellulitis after traveling to Gambia, caused by Cordylobia anthropophaga. The case was managed using a novel non-operative technique involving eutectic mixture of local anaesthetic cream for larval extraction, successfully avoiding surgical intervention. This approach proved effective in the emergency department setting.
What made this case unusual
The use of eutectic mixture of local anaesthetic cream for larval extraction in a pediatric patient represents a novel, non-invasive management strategy.
Diagnostic / clinical pearl
Clinicians should consider myiasis in returning travelers with infected skin lesions, particularly in pediatric cases where invasive procedures may pose additional risks.
Why it matters
This case underscores the importance of innovative, minimally invasive techniques in managing pediatric conditions, enhancing patient safety and comfort.