PMC3702274_01
Circular ulcerous furuncular lesion of the lateral dorsum of the right foot, adjacent to the base of the fifth toe, containing a compressed prepupal larva of the tumbu fly, Cordylobia anthropophaga.
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Tanzania for a medical mission trip. Three weeks following his return to the United States, he noticed a scab developing on the side of the fifth digit on his right foot (Figure 1).
Circular ulcerous furuncular lesion of the lateral dorsum of the right foot, adjacent to the base of the fifth toe, 24 hours following the removal of a prepupal larva of the tumbu fly, Cordylobia anthropophaga.
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Instead, an entire plug of dead flesh came neatly out of the side of his foot, leaving a well-circumscribed crater (Figure 2).
Posterior end of the prepupal larva of the tumbu fly, Cordylobia anthropophaga, showing characteristic respiratory spiracles.
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The posterior segment contained the characteristic spiracles, which lacked a chitinous rim (Figure 3).