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This case report describes a persistent instance of opportunistic exsudatophagy by the house fly,\n                    <jats:italic>Musca domestica<\/jats:italic>\n                    Linnaeus, 1758 (Diptera: Muscidae), during a tattooing session on a healthy 32-year-old male client in Germany. Over a four-hour timeframe, four adult house flies entered the ground-floor studio through doors and windows opened for summer cross-ventilation. The insects exhibited highly persistent landing and feeding attempts directly on the freshly wounded tissue of the right lower leg, actively drinking a matrix of blood, plasma, and tattoo ink. Attraction intensified significantly once large-scale shading expanded the exuding epidermal surface area. Effective mechanical repulsion was heavily restricted by the client\u2019s enforced immobility required to ensure precise tattoo application. Following a routine aftercare protocol, the lesion healed completely without secondary bacterial infection. This report highlights a neglected hygienic hazard where the saprophagous and coprophilic ecology of synanthropic filth flies poses a mechanical vector risk for dermal pathogen inoculation, emphasizing the necessity of simple vector control strategies in tattooing facilities.\n                  <\/jats:p>","DOI":"10.1007\/s00436-026-08792-1","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:14:22Z","timestamp":1792563262000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Blood, ink, and flies: A case report on the house fly (Musca domestica) feeding on active tattooing wounds"],"prefix":"10.1007","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4551-5676","authenticated-orcid":false,"given":"Patrick","family":"Kl\u00fcber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4169-9547","authenticated-orcid":false,"given":"Niklas","family":"Hetz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"issue":"2","key":"8792_CR1","doi-asserted-by":"publisher","first-page":"503","DOI":"10.3390\/jcm13020503","volume":"13","author":"B B\u0103l\u0103ceanu-Gur\u0103u","year":"2024","unstructured":"B\u0103l\u0103ceanu-Gur\u0103u B, Apostol E, Caraivan M, Ion A, Tatar R, Mihai MM, Popa LG, Gur\u0103u C-D, Orzan OA (2024) Cutaneous adverse reactions associated with tattoos and permanent makeup pigments. 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