A Case of Furuncular Myiasis Due to Cordylobia anthropophaga in Infant in Makkah, Saudi Arabia

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Raafat A. Hassanein
Amal M. Almatary
Mohammad O. Alkurbi


The cutaneous myiasis has been rarely reported in Saudi Arabia. We intended to describe here a case of furuncular cutaneous myiasis caused by Cordylobia anthropophaga larvae in infant from south area in Makkah, Saudi Arabia. A female infant, 17-day-old, had lived with her family in area closed to animal houses. Physical examinations showed 2 tender erythematous nodules with small central ulceration on the infant back and hand. During investigation, 2 larvae came out from the lesion. C. anthropophaga was identified by paired mouth hooks (toothed, spade-like, oral hooks) and 2 posterior spiracles, which lack a distinct chitinous rim. Although rarely described in Saudi Arabia until now, cutaneous myiasis should be expected in people living nearby such livestock, with flies and poor hygienic conditions.

Cordylobia anthropophagi, cutaneous; myiasis, furuncular myiasis, Saudi Arabia.

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How to Cite
Hassanein, R. A., Almatary, A. M., & Alkurbi, M. O. (2020). A Case of Furuncular Myiasis Due to Cordylobia anthropophaga in Infant in Makkah, Saudi Arabia. Asian Journal of Immunology, 3(3), 16-23. Retrieved from https://journalaji.com/index.php/AJI/article/view/30115
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McGraw TA, Turiansky GW. Cutaneous myiasis. J Am Acad Dermatol. 2008;58: 907-926.

Veraldi S, Brusasco A, Suss L. Cutaneous myiasis caused by larvae of Cordylobia anthropophaga (Blanchard). Int J Dermatol. 1993;32:184-187.

Dehecq E, Nzungu PN, Cailliez JC, Guevart E, Delhaes L, Dei-Cas E, Bourel B. Cordylobia anthropophaga (Diptera: Calliphoridae) outside Africa: A case of furuncular myiasis in a child returning from Congo. J Med Entomol. 2005;42:187- 192.

Deng Y, Liu F, Chen X, Lu S. The first imported cutaneous myiasis due to Cordylobia anthropophaga in China. Int J Dermatol. 2013;52:120-122.

Wangia M, Glenn C, Mitchell C, Fisher S. Florid Cordylobia anthropophaga furuncular myiasis from travel in Nigeria. J Dermatol. 2012;39:1099-1100.

Fujisaki R, Makimura K, Hayashi T, Yamamura M, Yamaoka T, Shiraishi K, Ishibashi S, Kawakami S, Kurihara T, Nishiya H. Exotic myiasis caused by 19 larvae of Cordylobia anthropophaga in Namibia and identified using molecular methods in Japan. Trans R Soc Trop Med Hyg. 2008;102:599-601.

Omar MS, Abdalla RE, Cutaneous myiasis caused by tumbu fly larvae, Cordylobia anthropophaga in southwestern Saudi Arabia', Trop Med Parasitol. 1992;43:128-9.

Almatary AA, Hassanein R, Makhlof RT, Hanaa Y. Bakir HY, Amr M. Mohamed AM. First record of indigenous furuncular myiasis due to Cordylobia anthropophaga in unusual ecologic niche, Makkah, Saudi Arabia, International Journal of Tropical Disease & Health. 2016;19(1):1-7.
[Article no. IJTDH.29086]
[ISSN: 2278–1005]
[NLM ID: 101632866]

Robbins K, Khachemoune A. Cutaneous myiasis: a review of the common types of myiasis. Int J Dermatol. 2010;49:1092-1098.

Blacklock B, Thompson MG. A study of the Tumbu fly Cordylobia anltropophlaga, Gruinberg in Sierra Leone. Anniials of Tropiical Medicinie anitd Paralsitology. 1923;17:443.

Caissie R, Beaulieu F, Giroux M, Berthod F, Landry PE. Cutaneous myiasis: Diagnosis, treatment and prevention. J Oral Maxillofac Surg. 2008;66:560-568.

Lachish T, Marhoom E, Mumcuoglu KY, Tandlich M, Schwartz E. Myiasis in travelers. J Travel Med. 2015;22:232-236.

Song SM, Kim SW, Goo YK, Hong Y, Ock MS, Cha HJ, Chung DI. A case of furuncular myiasis due to Cordylobia anthropophaga in a Korean traveler returning from Uganda. Korean J Parasitol. 20174;55;327-331.

Ko JY, Lee I, Park1 BJ, Shin1 JM, Ryu J. A case of cutaneous myiasis caused by Cordylobia anthropophaga larvae in a Korean Traveler Returning from Central Africa, Korean J Parasitol. 2018;56(2):199-203. Available:https://doi.org/10.3347/kjp.2018.56.2.199

Martinez-Hernandez F, Vega-Memije ME, Villalobos G, Perez-Rojas D, Asz-Sigall D, Rivas N, Alejandre R, Maravilla P, Valdovinos MR. Myiasis caused by Dermatobia hominis in Mexico: morphological and molecular identification using the cytochrome oxidase I gene', Rev Inst Med Trop Sao Paulo. 2019;61:e45.

Millikan LE. Myiasis. Clin Dermatol. 1999; 17:191-195.

Khalifa RM, Mowafy NM. Light and scanning electron microscopical identification of sarcophagid larva causing intestinal myiasis. Egypt J Med Sci. 1997; 18:235-43.

Zumpt F. Myiasis in man and animals in the Old World. A text book for physicians, veterinarians and zoologists. London, UK. Butterworths. 1965;70-77.

Tamir J, Haik J, Schwartz E. Myiasis with lund's fly (Cordylobia rodhaini) in travelers. J Travel Med. 2003;10:293-295.

Ockenhouse CF, Samlaska CP, Benson PM, Roberts LW, Eliasson A, Malane S, Menich MD. Cutaneous myiasis caused by the African tumbu fly (Cordylobia anthropophaga). Arch Dermatol. 1990;126: 199-202.

Chopra A, Probert AJ, Beer WE. Myiasis due to tumbu fly. Lancet. 1985;1:1165.

Hall M, Wall R. Myiasis of Humans and Domestic Animals, Adv Parasitol. 1995;35: 257-334.

Ogo NI, Onovoh E, Okubanjo OO, Galindo RC, De la Lastra JM, De la Fuente J. Molecular identification of Cordylobia anthropophaga blanchard (Diptera: Calliphoridae) larvae collected from dogs (Canis familiaris) in Jos South, Plateau State, Nigeria. Onderstepoort J Vet Res. 2012;79:E1-4.

Hall MJR, Smith KGC. Diptera causing myiasis in man. In: Lane RP, Crosskey RW, editors. Medical insects and arachnids. London: Chapman and Hall. 1993;429–69.

Afifi MA, Jiman-Fatani AA, Alsiny FI, Anshasi WS. A new focus of autochthonous transmission of Cordylobia anthropophaga in Saudi Arabia. J Microsc Ultrastruct. 2015;3:82–5.

Scholl PJ, Catts EP, Mullen GR. Myiasis (Muscoidea, Oestroidea). In: Mullen G, Durden L, editors. Medical and veterinary entomology. SanDiego: Elsevier. 2009; 309–38.

Sharma K. Ophthalmomyiasis externa: A case report from Alkharj, Saudi Arabia, Saudi Journal of Ophthalmology. 2018;32: 250–252.

Lane RP, Lowell CR, Griffiths WA, Sonnex TS. Human cutaneous myiasis - A review and report of three cases due to Dermatobia hominis. Clin Exp Dermatol. 1987;12:40- 45.