Des myiases furonculoïdes multiples chez un es myiases furonculoïdes multiples chez un nourrisson. (French)

Subcutaneous or furunculoid myiasis is an ectoparasitosis caused by the cutaneous or subcutaneous carriage of larvae of various diptera. The causal agent is most often Cordylobia Anthropophaga in tropical areas. We report an observation of multiple subcutaneous myiasis in an infant. The toddler was 2 months old, with no previous history of myiasis and was up to date with vaccinations. He was treated for furunculoid lesions evolving for 5 days. The dermatological examination revealed three inflammatory nodules centred by a whitish orifice without fluid discharge, located on the thorax, the back and the buttocks. The rest of the clinical examination was unremarkable. A maggot was extracted by bi-digital compression of a nodule in the thorax. The diagnosis of furunculoid myiasis was set. The treatment consisted of manual extraction of the maggots and local care. The evolution was favourable after two weeks, labelled by a complete healing of the lesions. Our case is particular because of the occurrence of subcutaneous myiasis in an infant and its misleading clinical presentation simulating multiple furuncles. [ABSTRACT FROM AUTHOR]

La myiase sous cutanée ou furonculoïde est une ectoparasitose causée par le cheminement cutané ou sous cutané de larves de divers diptères. L’agent causal est le plus souvent Cordylobia anthropophaga en zone tropical. Nous rapportons une observation de myiases sous cutanée multiples chez un nourrisson. Il s’agissait d’un nourrisson âgé de 2 mois reçu pour des lésions furonculoïdes évoluant depuis 5 jours. L’examen dermatologique retrouvait trois nodules inflammatoires centrés par un orifice blanchâtre ne laissant pas sourdre de liquide, localisés au niveau du thorax, le dos et la fesse. Le reste de l’examen clinique était normal. La compression bi-digitale d’un nodule au niveau du thorax avait permis l’extraction d’un asticot. Le diagnostic de myiase furonculoïde était retenu. Le traitement consistait à l’extraction manuelle des larves et des soins locaux. L’évolution était favorable au bout de deux semaines, marquée par une cicatrisation complète des lésions. Notre observation est particulière par la survenue de myiases sous cutané chez un nourrisson et sa présentation clinique trompeuse simulant des furoncles multiples. [ABSTRACT FROM AUTHOR]

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