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Pleural Myiasis Associated With Pleural Angiosarcoma

Mitesh B. Patel, MD; Kurt Munzer, DO; Mary Dougherty, MS; Peter Williams, MD; Andrea Loiselle, MD
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CORRESPONDENCE TO: Mitesh B. Patel, MD, Department of Internal Medicine, Saint Louis University School of Medicine, 1402 S Grand, 14th Floor FDT, St Louis, MO 63104


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(6):e157-e160. doi:10.1016/j.chest.2015.12.022
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Myiasis refers to a parasitic infestation of vertebrate mammals by dipterous larvae (maggots) of higher flies. Infections in humans typically occur in tropical and subtropical regions, regions with limited medical access, and areas with poor hygiene and living conditions. Infestations in humans have been described in subcutaneous, nasal, ocular, oropharyngeal, and orotracheal cases; however, reports of pulmonary myiasis in humans in the United States and other developed countries are extremely rare. We describe a patient with recently diagnosed primary pleural angiosarcoma who presented to our clinic for the management of a thoracostomy tube and was diagnosed with pleural myiasis.

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