[The first case of Hypoderma tarandi-associated human myiasis in Greenland]. / Første tilfælde af Hypoderma tarandi-associeret myiasis på Grønland.

We present the first case of human myiasis in Greenland caused by the warble fly Hypoderma tarandi. Noticing a persisting, migrating, stinging facial sensation, a female patient eventually extirpated a larva from her upper eyelid, and the larva was confirmed to species level using DNA-based methods. A high prevalence of H. tarandi in reindeer, the main reservoir host, and increasing populations of musk ox may imply an increased risk of zoonotic transmission. Although diagnosis is challenging, rapid intervention is crucial to reduce the risk of ophthalmomyiasis.

Bovine hypodermosis: prevalence and economic significance in southern Punjab, Pakistan.

Prevalence and economic losses of warble fly infestation (WFI) in cattle and buffaloes were recorded in Dera Ghazi Khan and Rajan Pur districts of southern Punjab (Pakistan). A total of 18,000 cattle and 9000 buffaloes were examined in the field and slaughter house. Only one species of Hypoderma, i.e. Hypoderma lineatum was recorded from this area. The prevalence of WFI was higher in slaughter house versus field, cattle versus buffaloes, males versus females, and young versus old animals in both the districts. The highest month-wise prevalence was recorded in December and the lowest in July. Organ-wise prevalence of WFI was highest in oesophagus followed in order by rumen and spleen. The economic losses based on the value of warbled and warble-free hides were estimated as Rs. 22.8 million per annum (currency exchange rate is Rs. 57.5=US 1 dollar).

Siringomas eruptivos en mujer adulta / Eruptive syringomas in an adult woman

Presentamos el caso de una mujer de 38 años con siringomas eruptivos en el cuello y la pared anterosuperior del tórax, asintomáticos y aparecidos en brotes sucesivos en el curso de los dos últimos años. Se realizó biopsia de dos de las lesiones. El estudio histopatológico mostró un crecimiento glandular en la dermis papilar y reticular, con túbulos bilaminados, algunos de ellos dilatados y otros con forma de "coma", sin invasión de la hipodermis, signos de anaplasia ni cordones en fila india. Llevamos a cabo estudios inmunohistoquímicos frente a receptores de estrógeno y progesterona, que dieron resultados negativos. También se realizó estudio inmunohistoquímico frente a CEA y EMA. Éste último reveló el patrón típico de tínción de la lesión (luminal para CEA, capa perfórica para EMA). Nos encontramos ante un caso infrecuente tanto por la edad de presentación, como por la ausencia de expresión de receptores hormonales (AU)

Oral myiasis caused by hypoderma bovis larvae in a child: a case report.

Myiasis is the invasion of living tissue of humans and other mammals by the eggs or larvae of flies of the order of Diptera. It occurs mainly in the tropic, and is associated with inadequate public and personal hygiene. Oral myiasis in humans appears to be rare. This article records a case of oral myiasis caused by larvae of Hypoderma bovis. Two different pathologic soft tissue sockets were observed in the vestibular sulcus at the level of the both deciduous laterals along the deep upper lip tissues.

Eosinophilic mediastinitis, myositis, pleuritis, and pneumonia of cattle associated with migration of first-instar larvae of Hypoderma lineatum.

Migrating first-instar larvae of Hypoderma lineatum are a frequent cause of focal inflammatory lesions in connective tissues of the mediastinum, parietal and visceral pleura, peritoneum, lungs, diaphragm, and other loci. The lesions are characterized grossly by foci of yellowish or greenish gelatinous edema and microscopically by infiltration of the edematous tissue by a dense array of eosinophils. Lesions were recognized during a period of several weeks in late spring; the timing was attributable to events in the life cycle of the fly. The larvae, which were small (approximately 1 x 4.5 mm), transparent, and unobtrusive, were recovered from lesions in 12 of 20 cattle in which careful parasitologic examination was made.

Ophthalmomyiasis caused by the reindeer warble fly larva.

Two boys with ophthalmomyiasis caused by the first instar larva of the reindeer warble fly Hypoderma tarandi are reported. Both were 9 years old and came from the coast of northern Norway. One had ophthalmomyiasis interna posterior and one eye had been removed because of progressive pain and blindness. Histological examination showed the remains of a fly larva. The second boy had ophthalmomyiasis externa with a tumour in the upper eyelid, and histological examination showed a warble with a well preserved larva. Identification of the parasite in the histological material was based on the finding of cuticular spines and parts of the cephalopharyngeal skeleton identical with those of the first instar larva of H tarandi.

[Horse infestation with the larva of the deer warble fly, Hypoderma diana Brauer, 1985 (Diptera, Hypodermatidae)]. / Napadení kone larvou strecka srncího Hypoderma diana Brauer, 1858 (Diptera, Hypodermatidae).

In South Bohemia a case was discovered of a yearling colt attacked by the larva of the IIIrd instar of the deer warble fly Hypoderma diana Brauer. The dead, almost mature larva of the fly was squeezed out of a subcutaneous lump above the shoulder in the first decade of April, 1985. The case is evaluated from the point of view of the possibility of the transition of specific parasites--warble flies--to another host. The attacking of a non-specific kind can occasionally occur only when there is a large number of the parasites and both kinds of host. At present the degree of attacking of deer by subcutaneous warble flies is high and therefore under favourable circumstances even domestic animals can be attacked by this type of warble fly. The above case is the first to be ascertained of a horse being attacked by a deer warble fly.

[Histological reactions of the host induced by the larvae of the warble-fly Oestromyia leporina Pall. (Diptera, Hypodermatidae) (author's transl)]. / Histologische Reaktionen des Wirtes auf den Befall durch die Dasselfliege Oestromyia leporina Pall. (Diptera, Hypodermatidae).

The histological reactions of Mastomys natalensis induced by the larvae of Oestromyia leporina are described from the start of the infection to the complete healing of the evacuated cyst. Against the migrating larva no cellular reactions take place. After the larva settles, the most obvious feature is a non-suppurative inflammation of the surrounding tissue, while a layer of granulation tissue, infiltrated with eosinophils, is built up around the parasite. About 13 days p.i. the number of eosinophils starts to decrease again. No giant cells are present; plasmocytes and lymphocytes are relatively scarce. A few days before the parasite leaves the host, the inner surface of the warble is infiltrated with masses of neutrophils, obviously caused by secondary invasion of bacteria through the warble opening. After the parasite leaves the host, the repair of the tissue takes place within three weeks. The remaining scar tissue contains cells carrying haemosiderin, which disappears entirely about two months later.

Intracranial myiasis by Hypoderma bovis (Linnaeus) in a horse.

Acute neurologic disease associated with intracranial migration of a first instar larva of a warble fly, Hypoderma bovis (Linnaeus), was observed in a 14-year-old Quarter Horse gelding in western Montana. The disease was characterized by incoordination of gait, circling to the left, head tilt to the right, partial paralysis of the right side of the face, and impaired vision in the right eye. Two and one-half hours after it was first noticed sick, the horse collapsed and was euthanized. Massive hemorrhage unaccompanied by necrosis or significant cellular response was present in the right side of the midbrain and pons.

[Histological tissue study of cattly harboring the Hypoderma lineatum parasite (De Vill.) (Diptera-Oestriform) (author's transl)]. / Modifications histologiques de la sous-muqueuse (esophagienne de bovins parasités par Hypoderma lineatum (De Vill.) (Diptera-Oestriforme)

The migrating larvae of H. lineatum throughout the submucosal connective tissue of the oesophagus of cattle induce an acute inflammatory reaction. The aim of this study is to investigate histopathological tissue changes. Connective tissue damage is produced by the inflammatory reaction, but mostly by larval proteolytic enzymes. Fibrous proteins and matrix are all largely affected. Around the larvae there are 3 concentric levels of degradation. The external one is characterized by vascular response. No tissue component is destroyed, but the collagen fibers dissociate into fibrils. In the 2 internal levels (B, C) the fibrils lying along the larvae progressively degrade, splitting into large then small fragments. The elastic fibers are differently affected, but also show breaking and thinness. Finally, the matrix increases, metabhromatic reactions appear, and many mononuclear cells and granulocytes invade this injured area. Fibrin network generally present in inflammatory reaction is not found around the larvae except posteriorly in the regenerative zone. All the changes in the fibrous proteic structures of connective tissue facilitate larval migration. Repair in the larval pathway commences shortly after the passage of the larvae. Necrotic tissues are rapidly destroyed by larval enzymes and tissular and cellular enzymes, macrophages and granulocytes are abundant. The respective importance of larval enzymes and cellular enzymes in the necrotic phase is analyzed. This study, carried out between October and March, also shows an increase of inflammatory reaction and tissular degradation. The immune response of the host and the nutritional habits of the larvae are probably involved.