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Lucas-Truyols, J. Sabater-Abad, F. Millán-Parrilla" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Lucas-Truyols" "email" => array:1 [ 0 => "sofialucas89@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sabater-Abad" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Millán-Parrilla" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Picaduras tras un viaje a Brasil" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1159 "Ancho" => 1667 "Tamanyo" => 255838 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">After a trip to Brazil, an 87-year-man consulted for several erythematous, painful nodules with a central orifice, unattached to the deep plane, which appeared 1 month earlier and were located on the dorsum of the left hand and left wrist (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The initial suspicion was insect bites; the patient was therefore prescribed symptomatic treatment. Within a few days, the patient returned to the doctor's office and brought with him a brown-yellowish larva. The patient reported that all the lesions had spontaneously drained a larva by the central orifice. The larvae were those of the human botfly (<span class="elsevierStyleItalic">Dermatobia hominis)</span> (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The skin lesions showed excellent progression, with no signs of infection and only postinflammatory hyperpigmentation. Cutaneous myiasis refers to skin colonization by developing larvae of several species of flies of the order <span class="elsevierStyleItalic">Diptera</span>. Their geographical distribution depends on the species of fly, which are very common in tropical destinations. When the larva matures, it emerges only to convert into the adult fly. If this diagnosis is suspected, the larva can be extracted using forceps after occluding the orifice with petroleum jelly, which interferes with the larva's respiration, forcing it to search for air, thereby facilitating its expulsion.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-02-05" "fechaAceptado" => "2018-02-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Lucas-Truyols S, Sabater-Abad J, Millán-Parrilla F. Picaduras tras un viaje a Brasil. 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