Dermatobia hominis cutaneous myiasis after package tours in Amazonia

BACKGROUND: Human cutaneous myiasis is a common disease in endemic tropical zones. The incidence of imported cases follows the development of organize d tours in the tropics. CASE REPORTS: We report 2 cases of Dermatobia hominis furonculoid myiasis i n patients who took 2 different organized tours which both visited the same Amazonian site in Peru (Puerto Maldonado). DISCUSSION: In Latin American countries, D. hominis myiasis is transmitted by Diptera (generally mosquitos, rarely flys) who carry eggs laied by an ad ult fly to man, This phenomena is called "phoresia" and explains the prefer ential localization of lesions in exposed areas unlike African myiasis caus ed by Cordy-lobia anthropophaga which contaminates clothing soiled when dry ing.