{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:32:42Z","timestamp":1790062362056,"version":"4.0.1"},"reference-count":7,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,3,4]]},"abstract":"<jats:p><jats:italic>Cochliomyia hominivorax<\/jats:italic>, the New World screwworm, was a serious livestock pest in the southern United States until the 1960s, when it was successfully eradicated by the release of sterile male flies. It remains endemic in parts of the Caribbean and South America, and there is concern that climate change may extend its geographic distribution. <jats:italic>Cochliomyia hominivorax<\/jats:italic> is voracious and can cause extensive damage to soft tissue and bone. We describe the case of a 26-year-old traveler who presented with otalgia and bloody otorrhea after returning from a vacation in the Dominican Republic, where exposure to screwworm flies most likely occurred during a nap on the beach. The causative agent was recognized by its characteristic larval anatomy, which includes pigmented dorsal tracheal trunks and posterior spiracles with an open peritreme.<\/jats:p>","DOI":"10.4269\/ajtmh.14-0617","type":"journal-article","created":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T05:32:38Z","timestamp":1418707958000},"page":"599-600","source":"Crossref","is-referenced-by-count":6,"title":["Pain and Bloody Ear Discharge in a Returning Traveler"],"prefix":"10.4269","volume":"92","author":[{"given":"Sylvia M.","family":"LaCourse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel M.","family":"Martinez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H.","family":"Spach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferric C.","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Clin Microbiol Rev","first-page":"48","article-title":"Laboratory identification of arthropod ectoparasites","volume":"27","author":"Mathison","year":"2014"},{"key":"R2","series-title":"World Animal Review","article-title":"Screwworm flies as agents of wound myiasis","author":"Hall","year":"1991"},{"key":"R3","series-title":"Clin Microbiol Rev","first-page":"79","article-title":"Myiasis","volume":"25","author":"Francesconi","year":"2012"},{"key":"R4","series-title":"Clin Infect Dis","first-page":"e57","article-title":"Role of ivermectin in the treatment of severe orbital myiasis due to Cochliomyia hominivorax","volume":"43","author":"Osorio","year":"2006"},{"key":"R5","series-title":"Eur J Dermatol","first-page":"64","article-title":"Cutaneous manifestation of myiasis in malignant wounds of the head and neck","volume":"19","author":"Sesterhenn","year":"2009"},{"key":"R6","series-title":"Mutat Res","first-page":"113","article-title":"Mutations and their use in insect control","volume":"511","author":"Robinson","year":"2002"},{"key":"R7","series-title":"Rev Sci Tech","first-page":"599","article-title":"Climate change and animal diseases in South America","volume":"27","author":"Pinto","year":"2008"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/92\/3\/article-p599.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/92\/3\/article-p599.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/92\/3\/article-p599.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T19:27:13Z","timestamp":1723058833000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/92\/3\/article-p599.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,4]]},"references-count":7,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.14-0617","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,4]]}}}