Granulomatous skin disease caused by aberrant migration of Habronema or Draschia megastoma larvae. House flies and stable flies serve as intermediate hosts and deposit larvae on moist areas of skin (wounds, eyes, sheath, lower legs). The larvae cannot complete their life cycle in the skin and incite an intense eosinophilic inflammatory reaction. Seasonal (summer) when fly populations peak.
Non-healing, reddish-brown granulomatous lesions with yellow, calcified 'sulfur granules' (caseous necrotic material); intense pruritus; commonly on sheath/prepuce, medial canthus of eye, lower legs, and wounds; lesions may contain gritty material on palpation; seasonal regression in winter; may recur annually
Granulomatous skin disease caused by aberrant migration of Habronema or Draschia megastoma larvae. House flies and stable flies serve as intermediate hosts and deposit larvae on moist areas of skin (wounds, eyes, sheath, lower legs). The larvae cannot complete their life cycle in the skin and incite an intense eosinophilic inflammatory reaction. Seasonal (summer) when fly populations peak.
Non-healing, reddish-brown granulomatous lesions with yellow, calcified 'sulfur granules' (caseous necrotic material); intense pruritus; commonly on sheath/prepuce, medial canthus of eye, lower legs, and wounds; lesions may contain gritty material on palpation; seasonal regression in winter; may recur annually