conical in shape, compared to the second-instar larvae. Lund's fly-induced myiasis Myiasis is generally defined as the infestation of animal tissue by the larvae of some flies. The larvae of myiasis-causing flies feed on animal tissue and/or bodily fluids. Myiasis caused by Lund’s fly larvae have been reported in Ethiopia, Uganda, Congo, Kenya, Ghana, and Cameroon. It is very similar to the myiasis that caused by the tumbu fly, the latter co-existing in the same geographical regions as Lund's fly. Clinical symptoms start with the formation of a red papule, which is characterized by a small raised swollen area of the skin. These can form on any area of the skin, with the arms, legs, arms, and back most frequently affected. Patients typically do not report pain at this stage of infection. The papule enlarges with time, penetrates deep into the skin, and develops a central opening, now classified as a furuncle. The central opening facilitates gaseous exchange for the larva while a serous fluid also exits the same opening. The central opening also makes it possible for the larva to excrete its fecal matter. At this point, itching and burning sensation are usually described by patients in the affected areas of the skin. Patients also report symptoms such as insomnia (due to pains at night) and fatigue. The disease is usually self-limiting as the larva drops out, upon reaching the third-instar larval stage. Also, Lund’s fly larvae infestation in systemic areas, such as the internal organs, or blood vessels, has not been reported. The most serious incident of Lund's fly-induced myiasis reported so far resulted in swelling of the lymph nodes due to adverse immune reactions in the patient. A major distinction between myiasis caused by Lund’s fly and that caused by other flies is that lesions in Lund’s fly myiasis are usually smaller and multiple. Myiasis caused by tumbu fly is, though, similar to that caused by Lund's fly; the two flies belong to the same genus and share similar characteristics. Treatment As the larvae fall off eventually, the disease is self-limiting and no treatment is usually needed, but to facilitate healing, the larvae can be physically removed from the infected region. This is done by applying gentle manual pressure to any two ends of the lesion until the larvae come out Occasionally, petroleum jelly or oil is applied to the opening in the lesion, to reduce oxygen