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Home / Infectious Diseases / Bacterial Infections / Myiasis (fly strike): Symptoms, Causes, Transmission, Prevention & Treatment Medications

Myiasis (fly strike): Symptoms, Causes, Transmission, Prevention & Treatment Medications

Dec 07, 2025 Kefas Solomon Kefas Solomon

What is Myiasis (Fly Strike)? 

​Myiasis, or fly strike, is a parasitic infestation where fly larvae (maggots) infest the living tissue of humans or animals, feeding on their flesh or body substances, often starting in open wounds but sometimes even on unbroken skin, causing significant distress, tissue damage, and potentially fatal infections like sepsis if untreated. This infestation, where the fly larvae feed on the host's tissue, is a serious concern globally, particularly in tropical and subtropical regions, or in areas with poor sanitation and hygiene.

Understanding this condition is vital for effective management and prevention, especially for individuals who might be wondering what are the early signs of fly strike in sheep, or perhaps the symptoms of human myiasis after travel to endemic areas. The severity of myiasis can range from a simple, boil-like sore to a potentially fatal systemic infection, depending on the fly species involved, the site of infestation, and the host's overall health. This condition underscores the close and often harmful interaction between humans and insects, highlighting the importance of basic sanitation practices.

Symptoms of Myiasis

​The presentation of myiasis varies significantly depending on the species of fly involved and the location of the infestation on the host's body. However, there are general symptoms that alert one to the presence of these unwelcome guests.

​Cutaneous myiasis, which affects the skin, is the most common form. It can manifest in several ways. One type, known as furuncular myiasis, often presents as a red, painful lump that resembles a large insect bite or a developing boil (a furuncle). Inside this lump, the larva develops. Patients often report a creeping sensation or intermittent, sharp pain as the maggot moves or feeds.

A small breathing hole, or punctum, may be visible at the center of the lesion, sometimes with serous or bloody discharge. If you're concerned about how to identify maggot infestation in skin, this painful, persistent boil with a central pore is a classic indicator. Another form, creeping myiasis, involves larvae tunneling under the skin, leaving a serpentine, red track.

Wound myiasis, where larvae infest an existing wound, will show up as a noticeable presence of maggots in the wound itself, often accompanied by a foul odor and increased localized pain and swelling. Dermatological signs of myiasis can sometimes be mistaken for other skin conditions, emphasizing the need for a precise diagnosis.

​Beyond the skin, myiasis can affect other body parts, leading to more specific and severe symptoms. Ophthalmic myiasis (eye infestation) can cause severe irritation, redness, and pain in the eye, leading to impaired vision and potentially permanent damage if the larva enters the globe of the eye, a critical aspect when learning how to treat eye myiasis naturally.

Nasopharyngeal myiasis involves the nose and throat, causing nasal obstruction, discharge (often bloody and purulent), facial swelling, and discomfort. In some unfortunate circumstances, the infestation can penetrate deeper into the sinuses or even the brain. Intestinal or Gastric myiasis, which occurs when fly eggs or larvae are ingested, might lead to abdominal pain, vomiting, and diarrhea, though the larvae often pass quickly. Urinary myiasis can present with painful urination (dysuria) and the passing of maggots in the urine.

For those observing their animals, noticing signs of anal fly strike in rabbits is crucial, as this localized form of myiasis in a vulnerable area can quickly lead to systemic complications. Understanding when to see a doctor for myiasis is essentially when any of these symptoms are persistent or severe.

​Causes of Myiasis

​Myiasis is directly caused by the infestation of tissue by the larvae of various dipteran fly species. These flies are broadly categorized based on their life cycle and the nature of the infestation they cause. Several key factors lead to a host becoming susceptible to this unpleasant condition.

  • ​Specific Fly Species and Their Habits: The root cause lies in the life cycle of specific fly families. For instance, the Tumbu fly (Cordylobia anthropophaga) and the Human Botfly (Dermatobia hominis) are primary causes of furuncular myiasis in humans, the former common in Africa and the latter in Central and South America. The Sheep Blowfly (Lucilia sericata) and the Screw-worm Fly (Cochliomyia hominivorax and Chrysomya bezziana) are major causes of wound or traumatic myiasis in livestock and sometimes humans. The female fly is naturally drawn to lay its eggs near suitable tissue.

    For example, the tumbu fly life cycle involves laying eggs on soil or damp clothing contaminated with urine or feces. When warm, clean skin or an open wound makes contact, the tiny larvae hatch and penetrate the skin. Conversely, the human botfly has a unique transmission method, catching a mosquito or tick, laying its eggs on it, and then the eggs hatch when the carrier lands on a mammal. This diverse range of behaviors means that different types of fly strike in animals are caused by different perpetrators. The main cause of fly strike in cats is often the secondary infestation of an existing, poorly managed wound.

  • ​Presence of Open Wounds or Soiled Areas: A major predisposing factor is the presence of an open wound, sore, or skin lesion. Flies that cause secondary myiasis are attracted to the blood, pus, or decaying tissue found in these areas, providing an ideal food source for their offspring. This is especially true for the old world screw-worm fly myiasis, which targets open sores. Moreover, the area around natural openings the anus, vulva, or ears that are soiled with feces, urine, or excessive discharge becomes highly attractive.

    Immobility, due to old age, illness, or injury, can lead to difficulty with self-hygiene, increasing the risk, particularly for people searching what causes fly strike in elderly people. The combination of moisture, warmth, and the smell of necrotic tissue is the perfect breeding ground, which is why poor hygiene and myiasis risk are so closely linked.

  • ​Environmental and Host Factors: Warm, humid climates are highly conducive to the rapid breeding and survival of the fly populations, directly increasing the likelihood of exposure. Geographic distribution of myiasis flies is key to understanding regional risk. Furthermore, compromised immune systems in a host, whether due to a concurrent illness like diabetes or a simple local infection, make them less capable of fighting off the initial larval penetration and subsequent infection.

    Flies that cause nasal myiasis symptoms are often attracted to individuals with existing sinus issues or poor nasal hygiene. In animals, long, thick coats, especially when matted or soiled, trap moisture and create a microenvironment perfect for egg-laying.

Transmission of Myiasis

​The transmission of myiasis the way the larvae move from the environment or a vector to the host is diverse and depends on the specific fly's reproductive strategy. Understanding these mechanisms is essential for effective prevention.

  • ​Direct Contact and Egg-Laying: The most straightforward transmission occurs when the female fly deposits its eggs (oviposition) directly onto the host. In the case of wound or traumatic myiasis, the fly is attracted by the odor of an open, possibly infected wound, and lays its eggs directly on the margins or in the necrotic tissue. The larvae hatch almost immediately and begin to feed. For furuncular myiasis caused by the Tumbu fly, the transmission often involves an intermediate step: the fly lays eggs on damp laundry that is hung outside to dry and has been soiled with animal or human excreta.

    When the person puts on the contaminated clothing, the body heat stimulates the eggs to hatch, and the larvae quickly burrow into the skin. People concerned about how to prevent tumbu fly larvae in clothes should understand this direct contact risk.

  • ​Ingestion and Accidental Introduction: Gastrointestinal myiasis is often transmitted when a person accidentally ingests the fly eggs or larvae contained within contaminated food or water. For example, if food is left uncovered, flies may land on it and deposit eggs. When the food is consumed, the eggs or larvae enter the digestive tract. While many species cannot survive the acidic environment of the stomach, some are able to pass through or even briefly infest the intestinal wall.

    In cases of ophthalmic myiasis, the fly may land near the eye and deposit eggs or very small larvae (larviposition). The tiny larvae then crawl into the conjunctival sac, especially in sleeping or incapacitated individuals, a serious concern for how to prevent myiasis in elderly patients.

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  • ​Vector-Assisted Transmission: The Human Botfly (Dermatobia hominis) employs a unique and complex vector-assisted transmission method. The female botfly captures a blood-sucking insect (like a mosquito or tick) and attaches her eggs to its abdomen using a strong adhesive. When the captured insect lands on a human or animal to feed, the warmth from the host's body causes the eggs to hatch instantly, and the tiny larvae drop onto the skin and penetrate the bite wound or hair follicle before the mosquito or tick has a chance to fly away. This makes it challenging to know how to avoid botfly eggs from mosquitos. This method bypasses the need for the botfly itself to land on the host, making it a highly effective parasitic strategy.

​Prevention of Myiasis

  • Maintaining excellent personal and environmental hygiene is the first line of defense.
  • ​Keep all open wounds, cuts, and abrasions clean and covered with sterile dressings, as this removes the attractant for most flies, thus reducing the risk of wound myiasis from blowflies.
  • ​Manage bodily excretions effectively, promptly cleaning up any spills of urine, feces, or vomit, as the odors attract flies that cause myiasis, particularly in vulnerable individuals.
  • ​Dispose of garbage properly in sealed bins and ensure its frequent removal to eliminate potential fly breeding sites, which is a key step for environmental control for myiasis prevention.
  • ​Shower and bathe regularly, paying special attention to folds of skin and areas where moisture can accumulate.
  • ​Promptly seek medical attention for any persistent or non-healing skin sores.

Myiasis (fly strike) Treatment Medication and Supplements

Forever Aloe Berry Nectar supports the healing of skin damaged by cutaneous myiasis by helping the body clean itself from within. Fly strike causes swelling, irritation and open wounds because the larvae create small tunnels in the skin as they grow. This process weakens the body’s natural defense and often leads to infection.

Aloe Berry Nectar provides a mix of pure aloe gel with cranberry and apple extracts. These fruits contain gentle cleansing compounds that help the urinary and digestive systems remove waste that may slow down recovery. The aloe content supports healthy skin by helping the body reduce swelling and dryness while keeping moisture levels steady.

When the skin has steady moisture, the irritation caused by the larvae reduces gradually and the tissues begin to knit back together. The natural plant compounds in cranberry and apple also support the immune system, especially when the skin is under stress from wounds.

By strengthening inner resistance, the body can fight bacteria that try to enter through the open sores created by the larvae. This helps the skin heal more neatly and makes infections less likely. When taken daily, Aloe Berry Nectar helps the body maintain strength through the healing period and supports the restoration of smooth, healthy skin.

Forever ImmuBlend helps the body stand strong against infections that may rise from cutaneous myiasis. When fly larvae enter the skin, they weaken the tissues and make it easier for germs to grow. A weak immune system slows healing and increases pain, swelling and redness. ImmuBlend contains natural ingredients that help the body build steady immune strength. It supports the activity of white blood cells, which are the body’s main fighters against harmful organisms.

During myiasis, these cells must work harder to protect the tissues around the wound. ImmuBlend helps them perform effectively so they can stop germs from spreading in the broken skin. It also supports balance in the immune system, so the body reacts gently without creating too much inflammation. When inflammation is controlled, swelling and irritation reduce and the skin can close faster.

With stronger inner defense, the body can push out the harmful influence of the larvae and repair the damaged tissues with more comfort. ImmuBlend also helps keep the body energetic during recovery, which is important because slow healing often comes when the immune system is tired. With steady use, it strengthens resistance and supports clean healing of the skin.

Forever Bee Propolis supports healing in cutaneous myiasis by helping the body protect the wounded skin from germs. Fly larvae create openings that expose deeper tissues, and these wounds can become infected if not well cared for. Propolis contains natural protective compounds made by bees to keep their hives safe from infection. When taken, it helps the body resist bacteria that try to enter through the wounds created by the larvae. By supporting natural defense, the skin remains cleaner and more stable during healing.

Propolis is also known for supporting tissue repair. It helps the body form new skin cells and strengthens the edges of the wound so that the skin closes more neatly. This slows the spread of irritation and reduces the discomfort that often follows fly bites. Propolis also helps calm swelling because of its natural soothing compounds. When the swelling reduces, tenderness also becomes less, and the healing path becomes smoother. In cases of myiasis, where the skin is weakened, Bee Propolis offers strong support to the body’s natural ability to recover and build new layers of healthy skin.

Forever Aloe Propolis Creme helps repair the outer skin that is damaged by cutaneous myiasis. Fly larvae cause small but deep openings that irritate the skin and sometimes cause thick redness. This cream combines aloe, which soothes the skin, with bee propolis, which supports protection. When applied on the area, the aloe helps reduce irritation and dryness. Aloe Propolis Creme allows the skin to stay moist and soft, making it easier for new layers of skin to form. The propolis inside the cream supports defence against germs that try to enter the broken skin. This is important because myiasis wounds need protection from further infection. The cream also helps calm the burning and itching that may appear as the larvae move or as the skin reacts to the damage. As the inflammation settles, the skin begins to recover with more comfort.

Aloe Propolis Creme also strengthens the outer layer of the skin so that it does not crack or peel while healing. This allows the wound edges to close gradually. With steady use, it supports clean healing and helps the skin return to a healthy look.

Forever Aloe Vera Gel supports the body from the inside during recovery from cutaneous myiasis. The gel contains natural plant compounds that help the body calm irritation and support the healing of damaged tissues. Fly larvae weaken the skin by making small tunnels under the surface. This causes discomfort and sometimes swelling. When Aloe Vera Gel is taken, it helps the body reduce this irritation through its gentle soothing properties. It also helps digestion and cleansing, which strengthens the body’s overall wellness.

A strong body heals faster because nutrients move easily to the damaged skin. Aloe Vera Gel also supports hydration inside the body, and this helps the skin stay soft as it forms new layers. When the skin is not dry, the healing process becomes easier and less painful. The gel supports natural immunity, helping the body push away harmful germs that might enter the wound. As the immune system becomes stronger, the healing becomes smoother and more complete. With daily use, Aloe Vera Gel gives the body steady strength needed during the healing of myiasis wounds.

Surety helps the body strengthen its natural defense and supports clean healing during cutaneous myiasis. Fly strike weakens the skin and makes it easy for bacteria to enter the wounds. Surety provides nutrients that support the immune system and help the body protect itself. When the immune system is strong, it can fight germs that try to grow around the wounded skin. It also supports healthy blood flow, which helps the skin receive the nutrients needed for healing.

Surety helps calm the stress that the body faces during infections or skin damage. When the body is relaxed and nourished, the skin heals more steadily. The supplement also helps the body maintain steady energy as it works to repair the tissues damaged by the larvae. With regular intake, Surety offers strong internal support, helping the body restore the skin and prevent complications.

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2025-12-07  Kefas Solomon

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