46 Worms Maggots and Fleas
Jo Jarvis 22/09/18
46.1 Treat cutaneous larva migrans:
- Thiabendazole as topical treatment
- Oral Treatment - Albendazole/Ivermectin - usually Ivermecttin
46.2 Cutaneous myiasis…
Spot are supposed to have two little breathing tubes out the top, and sometimes you can feel them wriggle.
###In africa:
Tumbu Fly/Mango Fly (cordylobia anthropophaga)
- Fly lays eggs on ground/on wet clothes on the ground.
- Eggs hatch and larvae migrate into skin
- Maggot forms, usually on underwear line
Iron your clothes to prevent it
###In americas:
Dermatobia hominis (human bot fly)
- Bot fly uses mosquitoes to transmit larvae
- So maggots form on exposed areas
Mosquito repellent to prevent it
46.2.1 Treat
- Treat by asphyxiate (vaseline + occlusive dressing)
- So the worm starts wriggling out
- Grab with tweezers
46.3 Fleas
Chigoe fleas/jiggers - it’s the female flea
Treat with chopping the flea out intact