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BOTFLY EMAIL STORIES RECEIVED BETWEEN 2001 AND 2005
MORE STORIES ON ANOTHER PAGE (SEE BOTTOM OF THE PAGE).


Here is a song about botfly larva, the title is 
"A VERY UNLIKELY OCCURRENCE"
Just click on the title above or in the below email sent to me April 26, 2004 from Damien Di Fede.
Be sure to follow along with the lyrics (that are provided below) while listening to the song.
Thanks Heather and Damien!

Hi,
I was led to this page: http://www.ambergriscaye.com/pages/town/botfly.html the other day by www.memepool.com
I was both fascinated and disgusted by the stories about bot flies and related what I was reading to my girlfriend, Heather,  who was also grossed out.  We participate in an online music community called Songfight! (www.songfight.org) and had decided to write a song for the upcoming fight (April 27 - May 4).  After reading about bot flies, the title "A Very Unlikely Occurrence" seemed to hold the most promise and Heather decided to write lyrics about bot flies.  And so, this song was born:  http://www.future-boy.net/music/unlikely.mp3
Here are the lyrics in case you can't understand the words:
 
We are bot fly larvae!
We like our dinners fresh!
We are bot fly larvae!
Feeding on your flesh!

We burrow in your epidermis
To warble as we please
A very unlikely occurrence
Unless traveling in Belize
 
Mosquitoes give us transference
We're carried on their knees
Distance is no deterrence
We find our prey with ease

Cuz we are bot fly larvae!
We like our dinners fresh!
We are bot fly larvae!
Feeding on your flesh!

We'll dig into your scrota
To grow our metanota
Someday we'll pop right out
And then you'll know what that oozing bump was all about!

We are bot fly larvae!
We like our dinners fresh!
We are bot fly larvae!
Feeding on your flesh!
Anyway, I hope you enjoy it and maybe you can find some other bot fly enthusiasts with which to share it.
Cheers,
Damien Di Fede

Below is the correspondence with Leon Higley. His site on Bug of the Week was the first Mark & I came upon on the internet regarding botfly's.
At 05:36 PM 4/11/2001 -0500, you wrote:

Dr. Higley,
We had a very bad....interesting experience with botflys. Thanks to your website we were able to find out more information on them. I have created a website telling about the experience. On the our site is the address of your site & a photo from your page. I am hoping after you look at it that you will be please & allow it to stay on our site. If not please let me know & I will remove it. You can see this page by going to www.vexman.com & clicking on botfly story. It's very ironic that both men that were bitten by a botfly happen to be named Mark!
Hope to hear from you in regards to our botfly story.
Thanks,
Brenda Johnstone

Brenda-

I seem to get lots of bot fly stories since I posted the website, but your story certainly trumps all that I've heard before. The photo actually belongs to Jim Kalisch, a technologist in our department, but I'm sure Jim will have no objection to your use of the photo (I'll check with him this afternoon). I'm surprised by the frequency with which infestations are misdiagnosed. The photos you have show a fully developed (third stage) larva; those I've seen were only second stage. If there is any chance we could get copies of these photos, I'd like to post them on our site (I'm supposed to do a large web site on bot flies, but I don't suppose that will get started until this summer) and they would be great for teaching. Perhaps I need to contact Dr. Higgs about this, so if you have his address (e-mail or otherwise) I'd appreciate it. I have a variety of stories that people have supplied on torsalo infestations, but Mark's scrotal infestation certainly is unique. Mark might want to know that most people seem to start freaking out with second stage larval feeding, so I'm not surprised he had such a miserable time with third stage larvae. I hope he is doing better now, and I appreciate your/his willingness to share his experience.

-Leon Higley


7/17/01

We too visited Arenal in CR this June. Upon return, my 8 year old
daughter kept complaining about shooting pains periodically coming from
two "mosquito bites" on her head. The pediatrician confidently diagnosed
it as impetigo and put her on anti-biotics. After 10 days and no results
- stronger AB's. After 4 days and no results - off to the dermatologist.
Dr. Skin can't figure it out so she decides to do a biopsy. Much to her
surprise - it's a maggot!. Congratulations! you have given birth to twin
5 week old botfly larvae! The dermatologists office thought this was the
coolest thing since alligator shoes. Found your story on the net after
scraping Mom up off the floor. Thanks for sharing your experience! It
does make for good gross-out story telling...

Bryan Edwards
Mandeville, Louisiana


10/5/01

Wow, that's quite a story...I must say, I never thought I would hear one
better than mine, but you win. Congratulations :) I just feel compelled to
share my story with you because, if anyone else, you'll be able to sympathize.

I went to Belize this summer with my father for a scuba trip. We dove every
day except for one : the last day, where we went and hiked through the
Mayan jungle and then went cave tubing. While in the jungle, I happened to
get a couple of mosquito bites on my leg, which I thought nothing of. Two
weeks after arriving back home, they were still there, itchy and painful as
ever, so I went to the doctor. I had previously heard something about
botflies, but didn't really think it was possible. So when I went in to see
the doctor, he told me it was just an infected mosquito bite, nothing more.
After I told him what I knew about botflies (although I didn't know the
name at the time), he decided that they would lance the largest one and
drain it (because, according to him, I was overreacting). No more than two
minutes after they had opened the bite, they pulled out a little wriggling
botfly. Now, of course, they had no idea what it was, so both the doctor
and the physicians assistant flipped out and called the CDC....so then they
opened the second bite, but didn't find anything. After all that, they
glued my leg back together and gave me some medicine.

A month later, the second bite they had opened wasn't healing at all (the
first one healed and there's barely a scar), so I went back to the doctor.
They opened it up again, this time digging all the way down to the muscle,
and still didn't find anything. They sewed my leg up again, gave me more
drugs, and sent me on my way. A week later, I came back to have my stitches
removed, and it still wasn't healed, so he began talking about simply
removing all of the tissue that next week. Two days after that appointment,
I was looking at the wound and it appeared to be moving! I thought I was
going crazy, and I showed it to a lady at work who used to be a nurse. She
told me it was probably just pus trying to work its way out, so I shouldn't
worry. Later that day, I would push on it a bit and this big long white
thing would come out of it.

Now, by this time, I was getting pretty sick of having bugs in my leg, so I
called the doctor immediately and told him what was up....he made me come
in that afternoon. I showed him the thing and he said "Its a maggot, we
have to get that out of there". So they pulled out this 1.5 inch botfly
maggot, and sent me home. The very next day, I bent down to pull off my
Band-Aid, when another maggot fell off on my hand. I called my neighbor, who
is a plastic surgeon, and he came over to look at it. After inspecting it,
he decided we needed to go to the emergency room and take out all of the
tissue in the area. So now, because of a great trip to Belize, I'm left
with 2 very purple scars on my leg :) I'm just glad to know that I'm not
the only freak this happens to!
Lindsay


11/29/01

I want to thank you for placing your account with the bot fly
infestation on the internet.  My husband and I traveled in late
September-early October to Belize.  Not too long after our return, I
noticed a lump on the top of his head and asked him if he had hit his
head or something.  He teased me for my violent ways, said it was
probably a pulled hair, and said it would go away.  Well, it didn't
and it was sore and oozing fluid.  Like any good wife, I demanded
that he see a doctor before I became a widow (I was irrationally
thinking it was some form of cancer at that point).  The first doctor
thinks nothing of it, gives him some antibiotic ointment and pills
and sends him on his way.  When that doesn't change anything in 3
days, I hit the roof and told him he had to get a second opinion or
resolve himself to sleeping on the couch.  He calls the other doctor
back who suggests he see a surgeon to see if it is something that
needs to be removed.

Imagine the surprise when the doctor's local surgery REMOVES A WHOLE
OBJECT from his head.  The doctor was so surprised he almost dropped
the thing.  It was nothing he had ever seen and, after cutting it
open to look inside, he sends it off to a lab. 

Imagine OUR surprise when the doctor calls today saying it was some
kind of fly infestation.  The ONLY reason we know it's a bot fly
larvae is because we typed in "fly lays egg under skin" into the
Google search engine.  Warbles?  Bot flies?! Damn bot fly pictures
look just like the one that came from his head.

My husband has called the doctor back with the identifying
information.  Thanks for sharing your story and listening to mine!
Tammi


11/29/01

Mine got me in Belize. Not sure where exactly. Probably hiking in Blue
Hole National Park. I still think it is unfair that while my wife seemed
to be a mosquito-magnet, I was the one who got the bot fly!

I now were a hat to cover the shaved patch in the top of my head. After
reading your account, I suppose I should be thankful that I was bitten
where I was, though.

Hope Mark is recovering satisfactorily.
--
D. Edward Farrar
Membership Administrator


BY FAR MY MOST FAVORITE WRITTEN STORY

11/29/01

...yes, it's true...I wasn't going to tell everyone
but rumors have been spreading here in San Diego, so I
thought I'd better let everyone know officially.  I
understand that most of you know me as a master of
exaggeration, and some may say 'King of bullshit'; but
what I am about to say, my friends, is by NO MEANS a
prank or stretch of the imagination - you better be
sitting down...(...Lord knows I'm not...) ...Let me
explain.....


(...soft jungle drumbeat please...) ...as most of you
know, I've recently returned from the jungles of
Central America - a quite lengthy trip at that...a
beautiful land with cascading waterfalls, limestone
caves that extend 20-30 miles, human sacrifice pits,
monkeys swinging from the lush green canopies above,
colorful Parrots and Toucans more numerous than
silicone breasts on a Baywatch episode...wild animals
breaking the silence of the night with spine tingling
howls - and ravenous mosquitoes the size of
hummingbirds...

Upon my return from another, fortunately still well
hidden, paradise - I began to feel a little 'out of
balance.' I noticed I was eating alot more, sleeping
very little with frequent nocturnal bathroom breaks.
One afternoon, after lunch at a McDonalds; I was hence
to find I've subconsciously left the pickles on my
burger where for 30 years previous to that - I would
have not...

This is when I became concerned. I made an appointment
at the well known and World respected Kaiser Hospital
in Clairemont Mesa (a hospital usually reserved only
for royalty and such.) Upon a brief introduction to my
doctor, I soon found myself dis-robed in front of
her...(I didn't even have to buy her a drink) She gave
a quick examination, and while behind me she made a
few strange vocal expressions and then scurried out
the door to consult a medical book. Her return was not
quick, and her once sweet smiling face was now turned
to an unusual grimace that would resemble maybe
someone who had just had their knuckles crushed while
simultaneously swallowing a Tabasco filled, premature
lemon...

She asked me to describe my recent past in detail -
and to expand on any events which I had pondered as
peculiar...
Why then, my thoughts became light again, as I drifted
off to recant the tales of the rainforest and warm
affectionate Tapirs...
I was with a puzzled look upon my face as she
interrupted and proceeded to finish my story for
me...she continued that while asleep in an open jungle
cabana near the Macal River I must have been
intimately visited by a young native woman; yes, young
she was indeed, but with large eyes and a beautiful
name...those who know her well call her
Hominis....Dermatobia Hominis that is...an evil bitch
of a creature that lays eggs to be hatched only upon
warm blooded hosts while they sleep in peace...and one
of those eggs had hatched and a bouncing baby larvae
has burrowed into my upper leg (lower buttock) region.
Given time, it will then (after eating copious amounts
of flesh) will crawl out and undergo
metamorphossisesess (sp?) to a fly and then try to
find a mate for its short airborne life....It is
presently enjoying a rather pleasant stay; under the
hospitals orders that they don't want to kill it
inside of me, they can't remove it surgically until it
gets larger, and they want me to provide a more mature
specimen for study (I am one of now 4 in the last 10
years in San Diego to have one of these horrendous
afflictions.

I used to be of the Anti-Abortion stance....but now
considering actually being faced with the situation -
I must admit, I have leaned a little more to the
Pro-Choice side...and, have recently scoffed at the
doctor's orders, and taken it upon myself to do a home
abortion technique. This was a very tough and
emotional decision for me; my friends Nancy and Alex
have begged for me to keep it - and have even named
him 'Edgar' they say I have other options, and I'm
just taking the easy way out....that's there's two
lives I need to think about now...and then there's the
heavy flak from the religious community as well...
but alas, I have decided...(I actually have received
native remedy advice from one of the local Taxi
Drivers who is Guatemalan but grew up in the vast
metropolis of Belmopan, the Belizean Capital -
population of 7,000 and a plethora of jungle medicine
expertise...)

Interesting side-note: Recently, I almost had a bad
car accident on my way to go skiing. At about 78 mph,
I felt the worst stabbing pain I have ever had in my
life. My legs went numb, my eyes went shut, and I
started swerving all over Interstate 215 Northbound.
However, while snowboarding, I was having a lovely
chat on the slopes. Since it was warm, I was not
wearing very thick pants. Throughout this 10 minute or
so conversation, by butt became frozen to the ski
slope - and after breaking free I noticed that I
didn't feel Edgar anymore. And for the next two nights
I slept peacefully without the usual nightmares of
'Alien' or 'The Fly.'  But about three days later, he
came back and is now madder than hell...


I encourage all who have read this lamentable tragedy
to do further research by internet, look for:
Dermatobia Hominis, Bot Fly, or Human Bot-fly. Also,
for a medical analysis consult
"http://bugs.uah.ualberta.ca/webbug/parasite/botfly.htm"

So now, that I got a wild bug up my ass; ...in
closing...I would like to present a little something I
came up with to describe my last 4 weeks....


"Edgar"
There once was a young man named John
Who couldn't stay land-locked too long
so he bought him a ticket
to the jungle and thicket
and nude dancing to sweet island song

But was bit in the ass
by an insect so crass
that it injects a worm
to wiggle and squirm
and form an infectious mass

Quick return to the states
for the verdict that awaits
from the doctor and nurse
to cure this damn curse
before the *%##@$& thing mates


But Alex and Nancy then said
Dear John, there's nothing to dread
Nancy knitted a quilt
for the cradle Alex built
to become Edgar's nursery bed


So Edgar's his name
but my decision still the same
and the next time I'm plastered
I'll kill this damn bastard
and hold not one ounce of shame

John Chupp

After responding to his story & here is his reply.

Brenda,
Thank you for responding...I found your website story
a week ago while researching this demon. I thought it
would be nice share the fact that there are others
with  similar experiences...and I thoroughly enjoyed
those writings!!!!

I had him removed late last night at the Emergency
Room - it was absolutely killing me!!! I was going
crazy...
now he's in a test tube in my kitchen..

good luck to you and yours!!!

John; Proud Father


5/16/02

Thank you for your very witty and useful website on Mark's Human Botfly
Infestation Story.

For the last six weeks, after a trip to Belize etc, I have had a Botfly larva
in my scalp at the back of my head    I couldn't see it but I could feel it, as
no doubt you can imagine!             I went through four doctors in as many
weeks (and lots of antibiotics and tests) before eventually meeting one who
recognized the problem instantly.

Mark's story was a great source of information and inspiration during the last
fortnight , once I knew what to look for.     It's always reassuring to know
that someone else has survived a much more grueling ordeal!

Botty was removed surgically today.  He didn't want to leave and hung on
grimly  until the resourceful doc gave him a mouthful of saline solution
through a syringe.

With best wishes,

Robbie Graham


7/19/02

Upon doing some research on human botfly, I came across your website.  We live on the Big Island of Hawaii and my husband was "hit" with botfly in his left eye.  He went to the ER and they pulled out 16 larvae from his eye.  That was 2 weeks ago.  Now he is having severe nasal and sinus problems.  The ER doctor told us that sometimes, although rare, the larvae can get into the nasal passages and grow.  We suspect that this is the problem.  However, after reading your story, we are having similar things happen to us as far as the doctors not believing us.  It is quite frustrating.  I thought you'd be interested to know that, according to our ER doctor, the "botfly" is only found on the Big Island in the Western World.  Lucky us!

Denise Smith Swanhart


8/13/02

My wife and I honeymooned in Punta Islita the first week of April, of this
year. I only recently had the "worm" removed and discovered what it was.
Fortunately for me it was digging only in my arm. None of the Dr's I saw had
a clue what was infecting my arm and my wife, all along said ..."it's a
worm...it's a worm." She even named it Herman the Worm, all this before we
actually knew it was a worm!
What a story I will have for a long time!! It was my 15 minutes of fame at
the hospital.
Regards,
John


10/9/02

Icthamol- aka as pine tar also works great. Apply , bandage and remove takes about 2 days. I went to CR late August2002 , 4 weeks later I still had bites that looked worse. I used this to draw it out, I thought maybe a stinger was left inside but, to my surprise it was 2 larvae's. Took to the doctor and he classified as a botfly.

Please pass this on, I hate to see people getting cut open for nothing the icthamol works great.

Marie Guarino

Sunrise, Fl


Dear Mark and Brenda,

Rick and I want to thank you for your Botfly story.  We returned from Belize November 16.  While in Belize, we had hiked in the jungle on two separate occasions.   While I had used insect repellent in my hair and scalp, Rick did not.

About a week after we returned from Belize to Columbus, Ohio, Rick noticed bumps in his scalp that later began to itch.  Then they started seeping. Then came the stabbing pain.  By the time we thought he should do something about it, it was Thanksgiving weekend and impossible to see a doctor.  So we called a pharmacist friend who said we should alternate cortisone cream
with antibiotic cream.  I also used a "bite stick" with ammonia in it on the bites."  No improvement.  On Monday, December 2, Rick went to his doctor, who diagnosed a bacterial skin infection, prescribing oral and topical antibiotics. By December 6 there was no improvement, and the pain would come at anytime with not warning and be excruciating.  That evening, as Rick sat at the computer, blood began running down his head and side of his face from one of the holes/bites/what ever they were.
I couldn't stand it any longer.  I started searching on the internet.  I used terms like "bleeding scalp" and found lots about head wounds.  The next day I was going to go Christmas shopping, but I couldn't stand to see Rick in pain and with no improvement, so more internet searching supplanted the shopping (I made up for it by shopping on the web later).  At the Center
for Disease Control site, I started looking at different types of insects,
came across the botfly and performed another search:  "bacterial skin infection botfly Belize" and voila! your botfly article came up.  I read it, printed it out (in full color) and took the papers in to Rick.  "You're not going
to like this," I said. First we tried meat taped onto his head (shaved portions of his head
first) using painters tape and covered by a hat.  When we removed the meat, we could find small bore holes in the meat but no larva.  (It was great
calling him "meathead" all weekend.)  Then we moved on to Elmer's school glue. Seemed those little buggers could "eat" through the dried glue and breathe all the same.

By Monday December 9, Rick had faxed your article to his doctor, who said to try superglue.  This did the trick.  We had been afraid to kill the suckers while still imbedded in the skin.  Seems that superglue works because it dries so fast, and you can glob it on.  When we peeled back the superglue, part of the larva was sticking out of the skin (must have been trying to
get air and got caught).  The dead larva could be pulled out by the part sticking out (using a Kleenex when grasping it), but the surest way to get them out was to squeeze them out (a couple of times they shot 2 feet into the air which meant I jumped about 2 feet myself.)  One time, when one was pulled out, only half of it came out, with the remainder having to be squeezed out.  I got all out but one, covered it with antibacterial cream and watched it with a light and magnifying glass.  Sure enough, the cream was showing a bubble.  These babies definitely won't squeeze out if still alive.  One more application of superglue did it, and the next morning, the last one jumped out to greet the day with an easy squeeze.
Just thought you'd want to know about the superglue treatment.  Definitely  the most effective and efficient. Turns out Rick had 5 botfly larvae in his scalp.
We dropped them into a half-full miniature bottle of Jack Daniels (kind of  like the worm in the Tequila) and sent them off to his doctor who definitely wanted to examine them.
All the while I cared for Rick (and the botflies), I kept saying that part of the wedding vow to myself, "In sickness and in health."  When those nasty things came out, I couldn't stop saying, "You poor man, you poor man." You see, when he'd stop in the middle of walking, hold his head in pain and grimace and yelp, I had been a bit skeptical before I knew what these things were.  Now, I will never doubt him when he says he is in pain.)
THANK YOU, for putting your article on the web.  Who knows how long it
would have taken to get a correct diagnosis in Columbus, Ohio?  We are grateful to you.

Jennifer and Rick Brunner

P.S.  When a buddy of Rick's heard about his botflies, he e-mailed Rick saying, "You know I always thought your wife looked like Sigourney Weaver, but don't you think you're taking this alien thing a little too far?" Thanks again.


This email with a photo has been going around but the information is wrong!
The true story about a 5 yr. old boy and photos come from this site below.
http://archopht.ama-assn.org/issues/v118n7/ffull/epe90105-1.html

Got this in a forwarded email. Is this a Bot Fly Larva?
Subject: FW: eye irritation read it first. This poor guy was minding his own business & he felt an eye irritation. Thinking that it was just regular dust, he started to rub his eye, in an effort to remove the  dust. Then his eyes got really red, so he bought some eye drops from the pharmacy. A few days passed and his eyes were still red and seemed a little swollen. Again he dismissed it as dust & continued rubbing, hoping it would go away. As the days went by, the swelling of his eye got worse & the redness increased until he decided to go and see a doctor for a check up.
The doctor immediately wanted an operation, being afraid of a tumor growth or cyst.   At the operation, what was thought to be a growth or cyst, actually turned out to be a live worm. What was thought initially to be just mere dust actually was an insect's egg......


10/14/02

Hi,
We just happened to be telling our children about the botfly that I got from Belize. I thought I would go to the net and look it up. I got your story. Thanks for vindicating the pain and such that I went through. I am from South Dakota, definitely not the botfly capital of the world, and married to a dermatologist. Thankfully mine was in my back and not in the nether regions and only 1 larva. I finally had way more than enough wine and squeezed it out. It hit the mirror I was looking at and started to squirm. Due to my wife being a derm we knew about these critters, but she was still in denial until I showed it to her. We still have it saved in a test tube.
Thanks for the web site! Botfly victims united!

John


August 07, 2002

A couple of weeks ago my 16 year old son returned from the Jungle in Peru. He has a lump on his head with a  whole it drains blood some puss. 3 doctors have looked at it and told us they don't know what it is. Tonight I applied warm compress and gentle pressure have been doing this for a week.) and all of a sudden the whole look like it got bigger and this live thing shot out and landed on me. We put it in a bottle.
It is still moving. My husband had a read an article while my son was in Peru that mention botfly. So here I am on your page and thanks to your information I may get some sleep. I will take this with me to the doctor in the morning. I can't thank you enough!!! He also complains of the area around his ear hurting. Any extra Information would be most helpful!!!!!
Evon Fales


July 4, 2002

Hi Brenda

Thank you for all of your help!! This morning at the clinic I asked the one physician who speaks the best English if it was a bot fly, and she didn't think it was. She said there was no wormy looking larvae in it, and that it is probably a bacterial infection. All of my symptoms have been very similar to what you described as being the bot fly though. Yesterday a big core squeezed out and it seems to be getting much better ever since. Actually today it feels great and has reduced in size alot, I can actually touch it with out being in pain. I guess if it is a bot fly it will remain a mystery, I am just glad it is healing so I can enjoy my last few weeks in Costa Rica, I have had a wonderful time. Even the bot fly wouldn't stop me from coming back. Thanks again for all of your help.

Janet Hollifield


Feb. 24, 2002

I feel for you, especially since you and the wife had to endure the stupid arrogance of doctors who won't let you help them out.  I came home with 8 in my back (From Belize, by a lake) out of which 7 were extracted by following the traditional method of "airtight" goop suffocation followed be popping them out.   My boyfriend became excellent at it, bless his heart, and was trying to let the doctors know as they insisted on digging for the last one themselves.  Now I have a nice size scar on my back. Not to mention, the last bot fly....  boyfriend got that one out as well after it burrowed even deeper, escaping the scalpel.
All in all it's a good drinking story.

Krisztina


Feb. 24, 2002

Hi!  My name is Maya Almaraz and I am a freshman at the University of California, Berkeley.  In January I went on a trip to Belize as part of a research team out of UC Davis.  We were trapping and tagging spinney pocket mice and other small rodents in the rainforest to study their relation to seed dispersal and germination.  I have been back for about a month and
today. I found out my friend and I both have beefworms (botflies).  I had seen doctors twice before and was told it was an infected mosquito bite and given antibiotics.   Both times I had specifically asked if it was botflies because while on our trip a man staying with us had a couple in his head and had a friend squeeze them out at the dinner table for him, that image stayed with me.  So after seeing a tropical disease specialist I found I have three. They are in no way the size of a goose egg, but big enough to feel.  I was told I need surgery (even though I have heard the raw meat theories) and wondering how long it was before Mark finally got his professional treatment and how urgent treatment is for me and my friend.  Thanks a bunch and I hope to hear from you soon.

-Maya Almaraz


Feb. 14, 2002

Hi there,
  Thank you so much for your thorough review of the Bot Fly. I am a family physician in Bellingham WA.  I work at an Urgent Care Center.  Today I saw a 24 year old male who had traveled to Costa Rica 3 weeks ago.
He remembered being bit by a mosquito on the left calf one night while sitting on the beach.  Two sites became itchy and eventually each formed indurate papules with a 1mm umbilicated center.  The persistence of the lesions combined with their waxing and waning pain and itching motivated him to come see me.

Admittedly I wasn't sure what was going on.  Two days ago I treated him with an antibiotic figuring these were boils.  But today the patient said it felt like something was moving.  One thing lead to another and I cleaned and numbed up his leg and got the larva out of one site.
I didn't know what it was but I knew that I had seen it before.  After exhausting all the texts where I thought I had seen this, I went to the internet.  A search on "subcutaneous larva Costa Rica" led me to your site.
What a resource! I have forwarded the link to the patient. He is excited to have the information. I did not attend to the second site today.  He wants to try the meat treatment tonight. Thank you for your site. The information has helped a very grateful, if not understandably repulsed, 24 year old male.  The information has made me look like I know what I'm doing (always a goal in the doctor biz). Total time from excision to diagnosis thanks to your site:  around 3 hours. I appreciate your having the "balls" to share. This is truly a representation of the value of the internet.
Gratefully yours,

Todd


Jan. 24, 2002

I am originally from Belize, Central America, and a few years ago I went back to Belize to visit and I was bitten by a botfly, and it was a very strange experience for me because I lived in Belize for twenty years of my life and was never bitten by one but I have heard of other people that worked in the jungle have and also my late father had been bitten when he was working in the bush, he was a sawmill owner, so he was always in the jungle. and so years later when I was bitten I was not sure if this was just a mosquito bite or what because I was not in the bush/jungle but I was on a boat traveling down river, but I wondered why my mosquito bite was not getting better, I noticed the spot was very irritated and oozing and started to feel a biting I tried to take care of it on my own and I thought it will get better eventually and it did not, I one night noticed that when I squeezed it! s! something pulled back in, I saw a head and that is when I screamed out and I told my husband to take me to the hospital because this was something live inside of me and pretty freaky, off we went to the hospital and the doctor was freaked out by this asked where I got this he has never seen anything like this before and said that it may have to be removed surgically and he told me to call the science museum of Chicago and find out what this was and I did and they had no idea but they were curious about it and told me that when I get it removed to please contact them again but this is what I did; if you want to know more about this please reply: Is the suspense getting to you!!! D

More from D regarding how her botfly was removed.

Jan. 26, 2002

Hello again, well as the story continues regarding the botfly. I called a friend of mine from Belize and told her my situation with the botfly and she told me that her mother had some knowledge of what this could be and I called her mother right away and told her my story and so she said that she would help me; my husband took me over to her house and my friend's mom told me to lie down and that she will drip hot wax into the hole and that she will squeeze the area as hard as she can and cannot let go until the bug comes out and it certainly did, it hurt a lot ,it was about an inch long , with hair and looked well nourished (smile) she said oh my gosh why did you wait so long because this thing was so big already, anyway  I saved it and I put it inside a jar along with some preservative so that the Science museum had told me to do and I was to meet this guy from the museum to give it! t! o him but that never happened so I still have it here at home with me and I often take it out and show it at parties and it freaked everyone out, pretty weird huh! Then a couple years after that my husband went diving with his brother to Belize went to San Pedro Ambergris Caye and he came back with one in his arm but we had our experience already and we were able to take it out of his arm by just squeezing the area and his was just a long black string, freaky! Anyway that's my story, if you want to know more about Belize feel free to ask, take care, D


January 6, 2003

Brenda and Mark,
I returned from Belize in mid-November.  The upper lobe of my right ear started itching about two weeks later, and sharp pain followed the first
week in December.  I went to my GP, told him of my travels (not remembering any particularly nasty bites), and he told me I had a bacterial infection.  A shot and course of antibiotics followed with no improvement.  A week later
I was back, but this time the Doc says it must be the Shingles.  Anti-viral medication was started, and in three days lab tests came back negative.
But believe it or not, after two days on anti-viral, the sharp pains were
gone. I took the medication for four days, and was off for another four days
when the pain returned.  Back to the Doctor.  This time he wants to refer me
for a biopsy to rule out cancer.  I got him to give me another weeks worth of
the anti-viral, and called an Ear Nose and Throat specialist myself.  It took
me two weeks to get in due to the holidays, and by my appointment (January
3 ), I was enduring longer and more frequent bouts of pain (Seems to me the
little guy was more active at night).  The Specialist took one look and said whatever it is we need to drain it and clean it out.  So on Saturday the fourth, a short six weeks after returning from Belize, the Doc cut me open and pulled out what appeared to be a blood clot, until it moved.  Instant relief.  Still can't explain why the anti-viral took the edge off the pain though.  All in all an interesting experience for someone who did undergraduate work in entomology, specializing in agricultural insect pest control in California.  My colleagues will never let me live this one
down.

                                      Mike Kennedy

Jan. 14, 2003

Wanted to write and thank you for your website. I went to Belize in December '02 and came back with a bite that wouldn't heal.

Finally decided to make an appointment with a doctor and the botfly must've heard me because this very morning I was able to pull it out (painfully!) It was about 1" long.
I was severely grossed out and of course have never seen anything like this in my life.  Googling 'worm, skin and bore' I came up with screw worms and botflies which eventually led me to your site.
 
So now I am armed with info from your site that I will bring to my doctor anyway in case there is infection.
 
Thanks again for hosting the site, its an invaluable resource.  It also appears that Belize is one of the more popular hangouts for these creatures from your reader feedback.
 
Jim

Jan. 18, 2003

Brenda-

Thank you for sharing Mark's botfly experience: the pain, humor, lyrics, native remedies, and medical experience and information.  If only I'd known of your website sooner I might have saved myself weeks of medical mystery.  It was only after the my little companion was determined to be a botfly larvae that I talked to my sister Abi who has spent a lot of time traveling in the remote regions of Central and South America.  She was quite familiar with bot flies and turned me on to your website.  So here's my story.
 
In mid November 2002 my wife Bonnie and I spent a week traveling in Costa Rica.  We were a few days at Arenal and vicinity and a few days on the beaches of the Pacific coast.  Arenal volcano was spectacular and our guide kept reiterating how fortunate we were to see it;  for most of the time it is hidden in the clouds.
 
About three weeks after we got home [Boston area] from a  relaxing week of hiking, exploring, and lounging on the beach I noticed a sore on the shin of my right leg.  I had no idea how it got there; no recollection of scrapes or bruises.  It was itchy and looked a bit like a bug bite that has been scratched. The surrounding area was red.  I didn't think much of it at the time,  but two weeks later when it still hadn't healed and was clearly infected I started getting concerned and went to see a dermatologist.  He prescribed an antibiotic cream and antibiotic pills.  I delayed taking the antibiotic pills because of a concern about drug interactions with the immunosuppressant medications I am as the result of a kidney transplant two years ago.  It took me nearly a week to reach the doctor again to get clarification about the safety of his prescription.  [ It didn't help that all of this was happening over the Christmas and New Years week when  doctors are notoriously inaccessible].  All this time the sore was getting worse and oozing almost constantly.  In addition to the itching that I had at the beginning, I had throughout occasional sharp stinging pains usually of only a second or two duration. 
 
On the night of January 3rd the pains were frequent and intense keeping me awake for a good part of the night.  By noon the next day, Saturday Jan. 4th, my whole right leg below the knee was extremely inflamed and very red and hot.  We headed to the emergency room at Boston's Beth Israel Deaconess Medical Center.  The doctors there, knowing that I was a transplant patient on immunosuppressant drugs,  took one look at me and said I needed to stay in the hospital and be on intravenous antibiotics to clear up what they called cellulites.  I spent five days there on the IV with my legs elevated as much as I could tolerate.  After the five days they sent me home with a PICC line in my arm and automated infusion pump for another week of IV antibiotics.  The nasty looking sore on my leg was clearing up, but I still had a quarter inch diameter crater on my leg to which each day I applied a dab of Bacitracin and a bandage.
 
You can only imagine my surprise when on last Thursday morning [Jan 16] I removed the bandage to find a worm crawling out of the hole in my leg.  My wife was totally grossed out and swore  she'd never go to a tropical country again.  As I was getting ready to go to the hospital to have it removed, it fell out.  I put it - still very alive and wiggling- in a small jar to take to my doctor.  The worm [larvae] was a dirty white color about 3/16" in diameter and 1/2 -3/4" long.  The doctor at first thought that it was a hookworm, but sent it out for analysis which determined that it was a botfly larvae. 
 
The botfly is found throughout Central and South American.  Part of its reproductive cycle requires living in the body of a warm blooded host [me].  The female [not wanting to take responsibility for its actions] lays its eggs on the belly of mosquitoes and other biting insects.  When the mosquito bites a person, the person's body heat is enough to cause a tiny larvae to hatch from one of the eggs.  The larvae then burroughs into the body, leaving itself an air hole so that it can breath [and I can ooze].  After 6-8 weeks if left undisturbed the full grown larvae emerges in order to pupate and become a botfly and begin the life cycle all over again.
 
So, not only had I brought home from Costa Rica a souvenir I was unaware of, but in the process I got an unplanned for lesson in entomology.
 
Nathan Rome

January 27, 2003

Thanks for your time and efforts in constructing a comprehensive website devoted to Mark's "twins".  After reading your story and knowing what we went through with our dog, I'm changing vets. 

 
We recently moved to NC ~ the Smokey Mountains.  Scenic this, lovely that, look at the woods, you know the ads.  One Thursday night our Elkhound [dog] was licking her side constantly, enough to disturb our sleep and make us quite aggravated.  After two days she had the fur/hair matted down pretty good.  We then saw the "wound" and thought it was a b-b imbedded in her side.  The wound was red, round, and raised it had an opening and was seeping.  Of course this was now Sunday afternoon of a holiday weekend. 
 
Our lively stealth guard dog was not herself.  Mopy, dry nose and eyes.  She didn't raise her head when the squirrels teased her.  I was positive she was shot, maybe buck shot infection/poisoning.  She let me apply some drawing salve [pine tar] and gauze to the wound.  By this time it was seeping steadily, very inflamed and very warm.
 
You've seen and heard it all, so I'll cut to the chase.  Monday afternoon I was able to squeeze the wound [must be a girl thing to squeeze things] after two squeezes you guessed it, the larvae came popping out.  Put specimen into a container to bring to the vet on Tuesday. 
 
He took one look at it and very professionally proclaimed oh, it's just a wolf worm.  Very common for this area ~ oh really.  Then why couldn't I find anything on the internet or vet reference books regarding a "wolf worm"?  I threw that diagnosis into the trash with the "your beagle has mange and your other dog won't get it" diagnosis.  Beagle had "hot spots", Elkhound had botfly larvae.  
 
Animal Planet aired a special on parasites and we immediately identified the culprit in the lineup.  Decided to do some internet learning and read of your plight.  I'm not too sure I was glad to read of a human's experience because I learned of the pain and agony our family pet endured.  She'll get a few extra treats tonight ~ she won't know why, but I'll feel better.

dan@harveyduckerson.com

 

 
My email to Dan....

Thanks for writing about your poor doggies ordeal. Glad the website was able to help in some way. That is what the site is intended for. Mark & I think the type of botfly was a rabbit botfly that got your elkhound. There are many different kinds of botflys.  Mark is  found in Central America and called a human botfly. I am not an authority on botfly's though by NO means, just read alot about it. Sometimes the larva's are called "beef worms", never heard the term wolf worm though. Don't blame you for getting a different vet, with two wrong diagnoses, sounds like he needs to study more. My Mothers cousin lived in Belize for several years & said it was very common for their pets to get bitten. They used axle grease to cover the air hole, then did as you did squeezing it out. Of course they thought nothing of it & were amused by Marks story, as most folks are.

I have done a website on my botfly emails. Do you mind if I include yours?
Thanks again for writing & give your dog a treat for me as well. I love animals.
Brenda Johnstone
Dan's reply....
Please include my e-mail.  In searching your site and links I found one reference to a wolf worm.  Apparently a young child (under 5) had symptoms similar to Mark's.  The grandfather had stated all along that it looked like a wolf worm. 
 
Our local taxidermist said the hunters here call it deer worm, but the wound is found primarily on the head near the joining of the antlers. 
 
Thanks again for your time and efforts. Axle grease eh?

February 3, 2003

Brenda and Mark,

 

Thanks to you and all your contributors, this site gave me a lot of comfort during my botfly ordeal.  My wife and I traveled to Iguazu Falls in Northern Argentina this January where we had a great time viewing sites in this tropical area.

 

I was hardly concerned when I noticed a few mosquito bites after a jeep safari into the rain forest.  I expected they would disappear, and they did, except three bumps on my leg and one on my back.  These were large bumps with an oozy hole in the top.  Two weeks after the event I was able to push out of one of the bites what looked like the stinger end of a bee.  This bump then started to heal rapidly.

 

Three weeks into the event, I started to get sharp pains in the other bites. One morning I pressed hard on another bump and out came a live wiggling larva (what a freaky thing this is).  I took the specimen to my doctor who correctly diagnosed the botfly larve and told me to smother the remaining two bites with Vaseline to cover the breathing hole, wait several hours, and then push them out.  This worked!  My wife gets the 'top trooper' award for assisting on the bite on my back.

 

Its like remembering some bad Sci-Fi movie, but really there were no lasting side effects. Will I keep traveling?  To South America?  You betcha!

 

- D Snow

Email to Dave....

Dave,
You are so lucky to be able to squeeze them out & not have them cut out, not to even mention the fact that the Doctor knew what they were! Do you mind if I add your email to my website?
Thanks for sharing your story.
Brenda Johnstone

 

His reply....

You are so right about the not having to have them removed.  My doctor was so thrilled to have something new and exciting to do... I, on the other hand, just wanted them OUT. J
 
Please add me to the website, it helped me to see that there were several people that had to endure the ordeal.
 
Keep up the good work!
 

I emailed the botfly website to David Letterman show, hoping to get Mark an interview. Here is the rejection email from the Late Show with David Letterman.
Hey...you never know, it might have worked!

Dear Brenda,
Thanks for bringing your husband's interesting, uncomfortable and... amusing? Medical dilemma to our attention!
Unfortunately, we don't feel we can feature him as a guest on our program. Nevertheless, we appreciate you thinking of the Late Show and wish you and your husband the best.

Sincerely,

Celia Converse
Talent Coordinator
Late Show with David Letterman




March 21, 2003

Hi Brenda

I have another botfly story to add to your collection.

I had been on vacation in Belize with my boyfriend, Arch,  from February 22
to March 3, 2003. When I returned to St. John's, Newfoundland on Monday,
March 3, 2003, I noticed a small bump on my left cheek, near my eye.  It was
slightly red and itchy and I thought it might be a mosquito bite or a zit.
I had no recollection of being bitten. I carried on normally when I returned
home, however, by March 9-10 the red spot was getting bigger, redder and
more irritated.  On Tuesday, March 11th I was driving home to lunch when I
got an excruciating stabbing pain in the bump and it began to ooze a clear
fluid.  It was throbbing and red and swollen. I had read about the botfly in
a book before I left for Belize and jokingly thought whatever the bump was
about to hatch!!  It didn't hatch but I did call my family doctor and
made an immediate appointment for that afternoon.  When he examined my face
he diagnosed it as a bite that had gotten infected and to which I had an
allergic reaction.   I made sure to tell him I had just returned from Belize
and the length of time I had been there.  He prescribed the antibiotic Cipro
for me.

I took the Cipro however had an allergic reaction almost immediately.  I
called my family doctor the following day and he prescribed another
antibiotic, Ceftin for a period of 7 days. I began taking that but did not
notice any difference in the bump on my face.  On Thursday, March 14 we were
having a baby shower for my sister-in law. I spent most of the night with a
tissue to my face as I was assaulted with these stabbing pains and fluid
continued to leak out of the bump. As the weekend came on, the bump
continued to grow, it became redder, my face became swollen from my eye to
my chin and the stabbing pains continued.  The bump looked like a volcano -
raised, round, with a hole in the center.  It continued to ooze fluid that
was mostly clear but sometimes a bloody brown or black. I even tried a bread
poultice to try and draw out what I believed to be an infection. It didn't
work.

By the week of March 17, the bump was beginning to bleed spontaneously. I
would be sat at my desk at work or driving in the car and I would feel blood
flowing down my face.  The stabbing pains continued and became worse at
night.  I called the clinic I had attended for shots prior to my trip to
Belize and explained the problem to them.  They suggested that I consult an
infectious disease specialist however I needed a referral from my family
doctor.  I returned to my family doctor and explained to him that I thought
it might be a botfly  that was causing the bump on my face - he told me I
was watching too much Star Trek!!  I asked him send me to an infectious
disease specialist and he said he wanted to "give it another shot."  He
called the infectious disease specialist and explained that I had an abscess
on my face.  The specialist recommended some antibiotic in 500 mg  tablets -
two tablets, four times a day.  I took the tablets for 24 hours and my face
actually got worse.  The swelling was so pronounced that my eyelid was
drooping and felt as if it was beginning to shut. My face looked like I had
had a tooth pulled.  The bump was still oozing fluid of various colors
spontaneously and it was still bleeding with the stabbing pain.

On the afternoon of March 19 my office assistant, Cora, came into my office
and said she didn't want to scare me but she had been researching the botfly
on the internet and was reading stories off your website and the symptoms
being described were identical to the symptoms I had been describing. I had
been pretty calm for the last 2 weeks but when I read the symptoms and saw
that they were exactly what I was experienced I started to feel a little
freaked out.  I called my family doctor again who told me not to panic, that
it took antibiotics 48 hours to work and I should wait to see what they
would do.  I explained how I had taken antibiotics for a week with no
difference in the symptoms and since taking the new drugs, my face had
actually gotten worse.  He told me if I was still worried to come in at the
end of the week.. At more prodding from my colleagues ( who were completely
grossed out by the bump and convinced it was the botfly) I went to the
emergency department of one of the city hospitals armed with the literature
from your website.

At the hospital, myself and my friend Cheryl, explained to the nurse what we
thought it was.  To my surprise, she didn't call in a psych. consult but
actually seemed to believe us.  Then to our surprise, a friend of ours who
is a surgeon showed up.  He immediately took out a syringe to aspirate the
bump to see if there was any infection and  of course there wasn't any.  The
E.R. doctor had a look at it, squeezed it a little until I told him he could
squeeze away as the bump itself wasn't painful, just the inflamed area
around it.  They concluded that these two factors, no discharge or
tenderness, indicated that there was no infection.  We discussed the
literature we had brought with us, the doctors consulted a medical journal
and then said they thought we had correctly diagnosed it. I had also brought
some literature from a physician in Canada who wrote on his experience with
the botfly and how he had surgically removed the larva.  So Mr. Surgeon
takes me into the O.R. and before I know it my face is deadened and he's
making an incision to find the creepy little guy.  He fished around for a
period of time and I was getting concerned that maybe we hadn't correctly
diagnosed it when he suddenly said "my God - you were right!!" and pulled
the maggot out and dropped into the bottle Cheryl was holding (she was quite
the assistant!).  He continued to root around for a period of time to make
sure Fred (as we christened him) wasn't a twin and didn't have any roommates
or that we hadn't left part of Fred behind!!  Fortunately there were no more
and I was stitched up with 2 stitches located just to the side of my eye. 

I had a good look at the little guy - who was still moving - and he was
identical to the pictures on the websites - white, with 3 stripes that are
actually spiny hooks, what looked to be a tail but what we think might have
been the breathing tube and 2 little pincers at the front of him.  My God, I
can't believe it was in me!! I felt immediate relief, both physically and
mentally, the swelling around me eye immediately started to subside as did
the inflammation.

In any event, that was 2 days ago, it is now Friday March 21 and my face is
100% improved!!  There is some swelling from the surgery but less than there
was with the botfly and the pain and discomfort is gone, with the exception
of the incision. And I am none the worse for the wear.

SO the question everyone keeps asking - would I go to Belize again??
Absolutely!!  The chances of this happening appear to be slim, no one else I
know who was there had any bites, so I'd  certainly take the chance again.
The whole experience does seem rather surreal and as the T-shirts proclaim ,
it was rather UNBELIZEABLE!!

Annette M. Conway
St. John's, NFLD.
Canada

Thank you for replying.  I also meant to put in my story that it was thanks
to your website that I was able to identify definitively that it was indeed
the botfly.  I wanted to share my story as well so that maybe it might help
other people who were uncertain as to what condition they had.  And yes, my
doctor is being sent the lab report on the botfly for my chart - which I
think I will then be taking to a new physician.

Again, thank you so much for having the foresight to start this website -
you've undoubtedly helped more people than you'll ever know.

Annette Conway

Your welcome Annette. 


March 31, 2003  

I too was bitten and had to have surgery to remove my friend who I brought back from a cruise with an 8 hour stop in Costa Rica.   After reading all of the stories mine is similar to several of them...except for the bitten area which is close to where Mark was bitten but I am a female so lets say it was about 6 inches below the belly button.
     thank you for all the info on the subject and lets hope none of us need it again

  MAY        MayzieK @aol.com


Brenda:
Here's what a bush doctor said works wonderfully:
 ================

 Just take a little tobacco -- or even heavily camphorated oil soaked in a
small cotton packing -- tape over vent hole -- the worm comes out -- 8 hour later pull off the tape -- voila -- one grub -- no infection -- everything
 OK.

 I tell people here to apply "Tiger Balm" to every "bite" -- as soon as
they know it.

 Tiger Balm is rich in camphor.
 ============
 Might want to put that onto the page. he deals with them all the time....
 Marty

April 29, 2003

After spending 10 days in the jungles of Belize, I returned home with two 'bites' on my butt. Thinking they were spider bites I left them alone only to have them get bigger and painful. About 4 weeks after getting back from Belize I went to see a doctor. He didn't really know what they were, but suggested soaking them in warm water with Epsom salt.

Well, I soaked in a tub of very hot water ( about as hot as could stand ) with Epsom salt for 45 minutes before I went to bed. The next morning.....surprise! Both bite areas had the dead larvae sticking out and both were thus very easy to express. I was too shocked and fascinated to be disgusted.
I guess the combination of being soaked under water that was also very hot killed them.
Just thought this may interest your readers as another possible way to get rid of them.
Loved your web site.
Thanks, David

May 6, 2003
Brenda,
I am a special forces medic.  I am in Bolivia right now.  I saw the coolest thing yesterday.  I was in a village when I was able to witness and film a bot fly larvae extraction.  no one knew what it was, except the village people.  I knew from my peculiar training exactly what it was.  I just thought it was real neat to see it in person.  it was on the top of 12 year old males head.  it was about 1 inch long.  they injected hydrogen peroxide in it.  they say it kills it and/or forces it to come out.  they were correct.  that thing did not want to be in there after that.  I wanted to read some more and found your site.  maybe one day you can see the rare footage I shot.
AC

May 6,2003
Thank you very much for your web page.  After four weeks of pain and doctors assuming I had a scalp infection we finally figured out I had 5 botfly sites.  Your web page helped me to understand the nasty critter and determine a procedure for extraction.  Mine were from Costa Rica.
Thanks,
Barbara
Thanks for writing Barbara. How did you get them out? I just got an email today from a medic in Bolivia who filmed a 12 yr old getting larva's removed from his head. They used hydrogen peroxide. What procedure did you have done to have them removed? What area of Costa Rica do you think you were bitten at? Mark knows it was near Volcano Arenal. Costa Rica is a very beautiful country, having experienced botflys will not keep us from going back.
Thanks again for the email.
Brenda Johnstone
Hi Brenda,
 
I stayed in Arenal, but I also stayed in Monteverde and Puntarenas.  I was on a hiking/birding tour so we were out in other areas in between.  I think I got the bites when we were staying in Monteverde. 
 
Mine were extracted with the help of several doctors in an outpatient clinic.  The first one was taken out during a biopsy which was being done to determine what was wrong with my scalp.  They discovered the air hole after the biopsy and mutilated the larva as they tried to get it out leaving some of it inside.  They wanted pathology to figure out what it was.  At that point we didn't know about bot flies.  We are watching that site carefully for infection.  Then they sent me home with the other four still living in my scalp!  The next day they successfully got #2 out with the petroleum jelly procedure.  The last three were more stubborn and were finally removed surgically (after trying the meat procedure for a short time with no luck).  They cut an X over the air hole and then pressed and pressed until the larva was aggravated enough to emerge.  It took many fingers to keep enough pressure on all sides to keep the larva from going back in.  My neck and shoulders are very sore from trying to keep up the resistance against the pressure.  It took 2 1/2 hours to get those last four out.  Fortunately my scalp had been numbed with lidocain (sp?) so that all I felt was the pressure.  Each larva was about 2 cm long when it emerged and then shrunk to 1 1/2 cm after it lay on the table for awhile.
 
It will be awhile before I hike an area that has botflies again.  However, I'm going on a Panama Canal Cruise in September which has a port in Costa Rica.  I'll use insect repellant this time and hope to have better luck.  Since I wore a hat during most of the hikes, I am surprised that there was an opportunity.  Do you know of any other precautions to take?
 
Thanks again for your website,
Barbara

May 20, 2003
Dear Brenda,
I went to the doctor about a lump in my scalp. I had been in Panama and thought it was a bug bite. He diagnosed it as a subcutaneous cyst and scheduled surgery for the beginning of June. Yesterday, I felt a sort of bump on my bump, though it was cyst material and--quel surprise--squeezed out a larva. (It never hurt while growing. I did and do have swollen glands on my neck on that side) .I was very disgusted. Thank heaven the same thing happened to my dog once or I would have been totally grossed out. So now I have a dermatologist appointment tomorrow to see if there are any more creatures.
 
Thank you for the web site. I feel a little less grossed because of all the similar stories.
Carol

May 27, 2003

My boyfriend and I got back from Costa Rica 6 weeks ago and an hour ago he gave birth to a full grown botfly!! All joking aside this thing was really disgusting. We were hiking in the rainforest at the bottom of the Arenal volcano 5 days into the trip and during a stop to observe a large group of spider monkeys we both experienced the only mosquitoes bites we can remember getting during the whole trip. We have decided this is most likely the time he received when he received the little larvae. Two days after returning he had what we thought was a nasty, but normal, spider bite on his lower right leg. For the first two weeks it never improved, but didn't seem to get much worse, just continued to itch. In the weeks to follow, the area became large; almost egg size, red, and a hole began to form in the center. The area around the hole was hard to the touch. A few tiny fluid filled blisters appeared around the outside.  When he would squeeze it a fluid would come out but nothing would happen. The hole remained open all the time, never healing over. 5 weeks into it, this thing is visibly not a normal spider bit so he begins searching the internet under "Costa Rican Spider Bites".  To our shock the first site to pop up is Mark's story and all the details match; the volcano, the pictures, and the time frame. So after calming down from the realization that he most likely has a 'maggot' like creature growing in his leg we decide to do all the things these sites tell us to do.

This was his first visit to a doctor who skeptically turned him away with an antibiotic as all the other stories suggested would happen. 

   Besides constantly trying to squeeze something out of there, our first attempt was 41/2 weeks into it. Neosporin and a band aid. For two days this did not show any results, except for improving the look of the area outside of the hole slightly.

   The third night of following suggestions from other stories we smothered it in a pile of Neosporin for 2 hours which seemed to work for other people but not for this botfly just yet.

   The fourth day into treating it (5 weeks and one day from the day we think he got it), he continued with the Neosporin and a band aid. Later that evening he removed the band aid to finally see results. One side of the creature was sticking out of the hole, squirming around for air. It remained out briefly and then randomly made appearances for the next few minutes while myself, and 3 or 4 other people could witness this thing in his leg.

   At this point we decided to suffocate the thing by whatever means necessary. We lathered Vaseline about a half inch thick on the hole and waited. It took almost an hour before we saw it come up for air. At this time I stuck the tweezers into the mound of Vaseline and yanked on it. We both felt and heard a snap, but soon after, it was poking itself out again. 

  An hour and a half into it, we had attempted the Vaseline, then Elmer's glue (which was to hard to see through and didn't seem to show results), and finally a dab of super glue which hardened over the hole with what we thought was part of the body stuck inside the clear glue. We pulled that off, thinking we tore part of it off. We covered the hole with Neosporin and a band aid and called it a night.

  This morning, to our surprise the thing was still moving around and making an appearance now and then.

 We though we finally had enough proof for a doctor’s recognition, so he made another trip to the emergency room, who tried to send him to a surgeon, who then tried to send him back to the emergency room. US doctors did not want to deal with this at all.

  After all of this failed, we resorted to the tweezers and Neosporin. Mid-day after pointless trips to see doctor's, and 2 hours of observing the hole through random fluids the night before, he was able to grab a hold of the end of the botfly larvae with the tweezers and slowly pull. A long skinny portion came out first and then the end, a spiny round shape, popped out. It looks just like the pictures you see here:

http://mycostaricatrip.sitemanager.ims.net/learn/index.php?category_id=163

As long as there are no other larvae inside, this looks like the end of it!


June 12, 2003
Approximately 4-6 weeks after visiting Costa Rica, what I thought was an infected mosquito bite, turned into this.
I pulled this out of my knee.  I think the picture says it all.
WOW!
Kelon Crocker


June 15, 2003
I found your website after the fact of a botfly infestation.  Since I
am a travel agent, I feel responsible for telling clients how to seek
immediate care if incubating a larva (although I try to be as tactful
and reassuring as possible).
Really weird problem.
I was with a family group and no one else had a problem.  I knew I got
bitten and saw the distinctive pore opening, but had not clue (since I
am such an optimist) of what was to come.  I had the little larva for
about a month in the undersurface of my upper arm.  It only itched. 
Didn't die with Chigger Aid treatment but eventually was persuaded to
leave when I used a combination of Chigger Aid and fingernail polish.
I was peeling off the airproof layer about to reapply a new coat (due
to itching).  Thought I was pulling off a layer of clear polish and
actually caught the end of the larva (which must have been half dead
and gasping for air) and pulled the larva intact from my skin.  Since I
had no idea I had a larval infestation, this "cure" was very upsetting
in its own right.  YUCK.
For others, I recommend identifying the characteristic pore opening
very early (within a week of bite) and going to a dermatologist.  The
doctor will inject a local anesthetic and remove the larva intact with
little pain or damage to the person.  Also, if you don't look, you can
spare yourself the shock of what you've been incubating.  YUCK.
Prompt correct diagnosis and professional removal is the least
traumatic experience for those of us selected for botfly infestation.
You wrote a good article covering the subject.
Thanks,
Betsy
I asked Betsy what country she had traveled too. Here is her reply.
Costa Rica in
April 2003:  Arenal Volcano, Monteverde Cloud Forest, Manuel Antonio
Rainforest.  Subjectively believe the offending mosquito bite was at
the last place during a patio dinner at the hotel. Of course no way to
know for sure.
Betsy

July 17, 2003
hi, my name is Anthony Cuccia and I was recently in an exchange program in
Costa Rica for 6 months.  After a weekend trip to playa samara with my
friends I found a persistent mosquito bite on the right side of my lower
back.  The mosquito bit me through my hammock I was sleeping in at the time.
  For well over a month I believed the non healing bite to be just a bad
mosquito bite and experienced sharp pains every now and then.  I didn't
think much of it an learned to live with the bearable pain.  One day I had
had enough and decided to squeeze the bite until something happened.  Upon
squeezing the bite I saw a whiteness coming to the surface.  As I squeezed
harder a small larva shaped object, what I now know was a bot fly larva
popped out and fell to the floor.  Upon examination I realized it was still
alive.  The larva was all white with what appeared to be a black dot at one
end (the hooks used for tearing flesh).  I was a little weirder out but
thought as long as there was no infection or other side affects I would be
fine.  In fact I thought nothing of it until I saw a program on the animal
planet tonight and decided to research the web to see what I could find.  I
came across your story and I can now put my mind at ease.  I am returning to
live in Costa Rica this fall and I am now fully prepared to deal with any
further bot fly incidents I may encounter.  I appreciate the information you
have provided and I consider myself now informed.
thank you,
Anthony Cuccia

July 20, 2003
Thank you for  your informative site!!
I spent a few weeks in BELIZE and came home with one of those bites that just don't go away... and leaked, hurt, and itched...
Well, I tried all your stories' solutions out... I couldn't bring myself to get hacked up like my mom did after her botfly experiences (she's had seven at one time cut out by a HMO surgeon), so I went at it myself...
I tried the Vaseline, gobbed it on and then freaked out - realizing that truly I had something living inside me... then I was more determined than ever!!! squeezing wasn't going to work... it was still rather small... and well dug in... I thought that the Vaseline was good, but then I put a thick clear packing tape over the Vaseline - it formed a solid window that the little guy could not penetrate to breath.  It was really pissed off now... frantic to breath... but I gave up for the night... the next day I was obsessed. I bought a new scalpel and cut a cross into my flesh (keep it sterile folks) tried to squeeze it out and still firmly dug in... and pissed off more than ever... the tiger balm was really the winner though... gobbed on thick and covered with clear tape.... slept with it on and in the morning my flesh was soft and the little guy had finally given up his hold.
this was easier than a trip to the doctor/butcher (who of course has never seen one before anyway)
and it cost a whole lot less...  My sore has healed up quite nicely.... Thank you again for sharing your stories... They really helped me - I hope mine will help the rest of you poor unfortunate, probably freaked out, worried, paranoid, stressed out, bot fly infested souls.  It will get better... GOOD LUCK!! HAPPY HUNTING!!!      
see the attached photos of my happy little friend.
Robert Barbutti - santacruzphotographer.com


August 8, 2003
Dear Brenda and Mark:

One time my friend  and his wife came to my home for BBQ with big bump in his upper back leg and said it was mosquito bite while vacationing in Belize. Mike told me he went to 3 doctors because the pain is bothering him and has been taking shots for antivirus...nothing worked... I myself as a veterinarian and am native of Brazil have seen bumps and other lesions like it and laughed explaining through mixed English with Sign Language ( I am Deaf but speaking well with 3 languages) to Mike. He did not believe  and asked me to dol. put Vaseline around the affected region  to block this little host from breathing and waited for 4 hours then squeezed and it got out...it was almost full grown berne ( I use it in Portuguese language same as botfly worm) Mike freaked out  and wanting to go to Hospital. I calmed him down telling it was nothing and put antibiotic cream and band  aid. They brought the little visitor to their doctor ( I heard he freaked out seeing it) and send it for further examination....It was botfly ( or mosca berneira). I grew up in Sao Paulo and always go to my father s farms .. I have seen cattle being infected by botfly, horses are almost rare unless in poor condition...I have been bitten by ticks, mosquitoes, etc...but never  botfly ...my sister was her victim. After what happened to Mark, the word goes around  and more 2 people came here asking for the advice...I said   Vaseline  or hot wax around the wounded skin  and wait for few hours making the little host loosen its anchors ,going up to breath, then squeeze it...without  the necessity of having sugerical intervention unless something is critical
If someone living in New York City or Brooklyn can always e mail me at Dmealimka@aol.com

Jorge

August 30, 2003
Hey,
I just wanted to write to you and thank you for your site.  I had an encounter with a bot fly myself and it wasn't fun.  I went to Costa Rica to study Spanish for the month.  We traveled on the weekends and to arenal Puerto Viejo and Manuel Antonio.  When I got back my lymph nodes were swollen.  I also thought I had a mosquito bite on my head.  I went to the doctor.  He though that it was a fungal infection so put me on antibiotics and gave me Neosporin.  I returned when the lump on my head was growing and hurting.  It was also discharging a rusty colored liquid.  He referred me to a tropical disease doctor.  He was booked for a month.  I noticed a sharp strong pain in the area every once in a while for 10-30 seconds.  It was unbearable.  I went to the ER one night because my brother seen it and decided it would be a good Idea because It just looked like a hole.  That and it was bleeding pretty bad f! or a week and the night before it ran all the way down my neck.  When we get to the hospital the nurse passes it off as a bug bite and I sit for 5 hrs.  The doctor who then treats me has no idea what it was.  They took 10 tubes of blood to test and urine sample a chest x-ray and aspirated it with a two inch needle into my head.  She then referred me to a clinic in Philly who doesn't even deal with that....it was pre travel thing.  My step mom was on the phone all day and found a doctor from Costa Rica who pretty much diagnosed it on the phone. They squeezed me in too see it the next day.  They knew what it was and referred me to a surgeon. By this point it was living in my scalp for 8 weeks or so.  The surgeon took me in the next day.  I was awake during it.  There was many people in the OR because they never seen anything like it before.  When they cut open my scalp I heard them say "look how big it is"  I was the talk of work! my school and the hospital.  It was weird, it almost seems like it was a movie.  I am not mad about it or turned away from Costa Rica from it at all.  It all comes with traveling.  Thank you again for your website........It meant a lot to find info on such a hard subject to find info on.

Christian Kraft
Alvernia College
Reading, PA

September 8, 2003

Thanks! Your site is also a great link to send to gross out friends and families.  I didn't take any photographs of my botflies, so it is nice to have access to pictures.

I was living in Belize when I got my botflies, so I luckily did not have to deal with baffled doctors.  We were living in San Pedro on Ambergris Caye but had spent the Christmas holiday vacationing on the mainland. We spent a week hiking in Cockscomb Basin Wildlife Sanctuary, which is a beautiful place and I highly recommend it to anyone who is interested in hiking, waterfalls, birds or jaguars.  We went hiking with a local guide one day; he was very knowledgeable about the plant and animal life- including the botfly. He told us about the botfly and got the expected response- we were all disgusted.

When we left the reserve, we thought we were only taking with us memories of jaguars, trogans and peccaries.  As we sat at the bus stop outside of the reserve, I joked to my husband that I had some mosquito bites on the top of my head- maybe we were taking botflies too.  We laughed, and it was almost two weeks before we discovered that this was true.
Two weeks later our vacation was finished and we were back to our normal lives in San Pedro when the pain started.  Lots of people on this site have described it.  For me, it felt like there was something stabbing me repeatedly underneath the skin.  It would come and go, and I didn't know what to think of it.  My neighbor and my boss both told me it was a botfly- in Belize they call them "beef worms".  I guess I was in denial because I didn't do anything about it right off.
Meanwhile, I developed a serious case of bronchitis and several of my lymph glands started swelling. Maybe it was my body fighting off the foreign creature or maybe just coincidence. I went to a local doctor who treated the bronchitis and I showed the doc the botfly bumps.  He told me that it looked like the worms had already escaped and just to watch the bumps for a while. I spent the next week too consumed with my bronchitis to worry about the worms- but the pain would still come and go so I knew they had to be alive.
Week three and I had pretty much recovered from my denial and I had totally recovered from the bronchitis.  I knew I had worms in my head and started asking locals for remedies.  I got many suggestions that all involved ways to suffocate the flies and then squeeze them out- some suggested using tobacco, others Vaseline, others tape.  But, my husband was out of town that week and I was determined to wait for his return to help me squeeze them out.  The fact that I waited so long to get it over with shows that either I didn't want to face it or my pain, which was terrible, was not as bad as other people experienced on this site.
Finally, four weeks after we left Cockscomb Basin, my husband covered my bumps in tobacco.  Immediately, one started to wiggle (I could feel it squirming around) and my husband squeezed it out.  It popped right out and we stared at the little creature- a plump white worm with little black  dots all around.  And I do mean it POPPED out- I swear I could hear it. 
The others were not so easy.  We popped out four more that night that were not so eager to escape the tobacco. My husband had to push on my head with all his strength until I couldn't stand the pressure any more. Sometimes the little white tip of a tail would pop out and then go back under again.  If I may get really disgusting, one actually exploded half way out- we had to squeeze out the remainder of it separately.
I had a friend in from out of town, by the way, who was as excited as could be to witness this.  I felt like a lab specimen.
After a grueling two hours of pushing out worms, I washed my head, cleaned it with alcohol, and went to sleep- content that the botfly ordeal was over.  Withdrew away four of the little buggers and kept the fifth in a jar of alcohol and brought it to a local doctor the next day who confirmed that it was a botfly. My Belizean friends assured me that it was nothing to worry about.  It turns out that it is pretty common in the jungle areas of the mainland.
But, it was not over.  A week went by and I still had two large, painful bumps on the top of my head from which we had already squeezed botflies.  I just assumed (denial again?) that my skin was still recovering from its ordeal and did nothing about it. One night, over four weeks after our trip, we were sitting on the beach having a drink when I felt one of them wiggling again.  The pain was so intense that for a while I thought I might pass out.  "This ends tonight!" I told my husband, and we went back home for a second two hour session of botfly removal. Without any tobacco or Vaseline, my husband pushed two more botfly worms out that night for a grand total of seven. And these last two were ugly creatures- big fat worms, about twice the size of the first five.  I had to build up the guts to look at them.  One of them was still alive when it came out and we put it in a plastic bag filled with alcohol where it remained alive, wriggling and rolling around, for a few hours.
We squeezed each bump on my head with no more results-nothing else came out but puss.  Then I applied alcohol to the area for days afterwards- my Belizean friends told me that the most important thing to worry about is keeping the wound from becoming infected, especially if you use tobacco.
Since then, I wear a hat or a bandana on my head every time I go to jungle areas. 
-Carla

Also from Carla......I wanted to add, by the way, that there is a little
biology research center outside of Belmopan called
Monkey Bay- they let you set up a tent there and camp
(this is where we stayed when we had to got to
Belmopan or to the zoo).  Anyway, the woman who runs
this center told me that when she gives orientation to
the new students, she explains about the botfly and
says it is almost inevitable that someone will end up
with one each season.  So, she keeps a change jar or
some other little prize and gives it away to the first
student to give birth to a botfly- sort of to take the
terror out of the experience.  I thought that was a funny story.
We were living on the Cayes, but here are some links
for my favorite outdoors places in Belize:
Five Blues National Park: www.fiveblues.org
(little, but really quiet and pretty with above ground
caves and a nice lake. If you aren't driving you'll
have to walk in a few miles off the main highway, but
it is a pretty walk. The park is isolated and
beautiful, but both times we were there we came across other campers.)
Cockscomb Basin Wildlife Sanctuary, where I got my 7 worms: www.belizeaudubon.org/html/parks/cbws.html
(sprawling jungle, the best place in the country to bird watch and spot wildlife I think)

9-16-03
Hi,
My name is Funmi Somefun, I just got back from holiday with my husband and children. We had traveled to Nigeria in West Africa for 2weeks.
We had a wonderful time, most of the holiday was spent in a city called Ibadan and then we traveled back to Lagos just 2 days before coming back to London. The morning after the first night we spent in Lagos I noticed that my daughters shoulders had been bitten by what I had supposedly thought were mosquitoes. She had a total on four bites on this one arm which I found quite strange, by the afternoon of that same day she complained that the arm was itching in the area of the bite.
On arriving back to London, the bites had become quite swollen and from time to time she cried that the hand was hurting her by clutching her arm just beneath the areas of the bite. I also noticed she had been bitten also under the armpit of the other arm. I called in to see my Doc to explain my concern and to let him know that I think there were some pores in the bites not knowing what they really were. He gave us some antiseptic cream cause he couldn't really explain what it was.
Four days after arrival and nothing had happened and I had noticed my son also had been bitten on his side by his rib, I got pretty worried just wanting the boil or the pores to come out. My daughter however fell asleep on my legs that night and I tried to pinch open the biggest of this bites. To my amazement it seemed something was actually living that kept going back in, I was adamant and pressed harder and pulled this white with gray ring maggot out. I kept my calm and set to work on the four other bite and I pulled out a total of 5 maggots from my girl and 1 from my boy. 
I sent them to the Doc's today to get them on antibiotics but couldn't tell him the events of the last few days regarding the maggots for fear of my children being used for experiments. My only concern now is that the area is still hard and I do fear if there is anything left in their, we also had some water come out of the bitten area after the maggots had been pulled out alive.
I decided to carry out a research and saw your web site and the stories by other people, I will appreciate any advice you can give and a prompt reply on my email address below.
Thanks ever so much.
Funmi

September 29, 2003

It was funny, because we had watched a show on one of the nature channels that had a feature on the botfly just a few weeks before we noticed that the cat was infested. I thought it was one of the grossest stories I had ever seen and was happy that we live in the USA and didn't have cattle (the story placed them overseas or only in cattle here).

 
We live in the country so people are always dropping off their unwanted cats around our house. She is one of five that we feed, but they will not allow us to pet them. We could not catch her to get her to the vet. We just had to let whatever was happening to her happen. We didn't know it was a larva until it started coming out. The first to hatch had entered above her nose and took over her right eye socket. Her eye swelled up to about golf ball size. Her eyelid was sealed shut from the growth and the larva made a hole in her eyelid to come out. I just knew that she would have lost the use of her eye, but the exit wound healed and her eye seems to be fine (no discoloration and she follows movement with it). The second larva was on her chest. Of course, by the time that one starting getting big, we knew what to expect. It hatched last Fri. She is doing fine and healing well. From looking at pictures, it looks like the human larva is mostly white while the rabbit larva is dark gray/black. Using this as my diagnosis basis, it was a rabbit botfly. This is one of those stories that you are just dying to tell somebody, but at the same time, you realize how gross it will sound to most people.
 
Thanks for "listening."
Libby Sexton

washingtonpost.com

The Mystery of the Rain Forest Rash
She Wanted to Know What She'd Picked Up on Vacation. . .Until She Learned the Answer

By Christine C. Lawrence
Special to The Washington Post
Tuesday, November 11, 2003; Page HE01

This is the tale of a medical mystery. Four doctors were stumped by the clues: exotic travel, strange weeping sores, inexplicable pains, rampant rashes. Solving the mystery took a chance encounter at the library, an expert author and a physician who listened closely to the patient.
But we get ahead of ourselves. Before the happy ending is a story that is not always pretty. In fact, it gets downright gross.
The tale begins with the Eskinazis -- David and Michelle and their sons Michael, 13, and Andrew, 8 -- taking a trip to Costa Rica last April. The family spent some of their 10 days walking together on paths beneath the rain forest canopy, looking for monkeys and birds.
One day, Michelle Eskinazi -- a friend of mine, and the person who provided many of the details of this account -- went for a walk by herself and returned without incident. When she returned home to Bethesda, however, Eskinazi noticed two red bites, one on each leg. The bites became inflamed and began to ooze, sometimes a clear liquid, sometimes blood and sometimes a substance that looked like olive oil, light green in color. The area around the bites itched. Around each bite was a bright red ring with a poison-ivy-like rash.
That wasn't the worst of it.
"Sometimes it felt like something was moving inside the bite, and I had incredible stabbing pains, mostly at night," Eskinazi recalled.
She went to her internist, told him she had just returned from Costa Rica and showed him the swollen bites. "Tick bites," he said, mentioning the possibility of Lyme disease. He put her on antibiotics.
The bites continued to ooze. While taking Michael to another doctor for treatment of a bad case of poison ivy, Eskinazi showed her the bites. The doctor looked puzzled, spent 30 minutes looking through medical books and eventually put her on another antibiotic, this one for staph infection and Lyme disease.

Ticked Off
Weeks went by and the oozing persisted.
"I had to change pajamas and my sheets every day," Eskinazi said. "Even with Band-Aids and gauze covering the bites. These things oozed all over, I mean all over. I thought the bites needed to be lanced and drained."
"Actually, I was pretty sure it wasn't Lyme disease, as I had e-mailed the bed and breakfast in Costa Rica where we had stayed and told them about the bites," Eskinazi said. "They said there are no ticks that carry Lyme disease there."
So she called her internist again. He sent her to a dermatologist. The dermatologist spent about two minutes with her and said, "I'm an expert on this. You have an allergic reaction to a bite. Stop taking the antibiotics and it will go away in two weeks."
Eskinazi explained to him that she thought she had been bitten in the rain forest. Also, she told him she was feeling something moving at the site of each bite and that she had stabbing pains there, particularly at night.
The doctor pointed to his head. "I think it meant he thought I was crazy," she said.
He told her of a colleague he knew who urged patients with strange insect bites to place fatback on the bite.
Only later did Eskinazi realize that this seemingly nonsensical crazy-sounding story might well have been the solution to her problem.

The Ooze
More weeks went by. The bites had now swollen into half-inch blue-green mounds. The sharp, moving pain was more intense.
Eskinazi called the National Institutes of Health, looking for a