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

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.