Umbilical myiasis in a human newborn.

The new-world screw-worm fly, Cochliomyia hominivorax, is an obligate ectoparasite of domestic and wild animals, and in some cases may affect humans. Myiasis in the human neonatal period is a rare occurrence and almost exclusively found in neotropic areas. Although umbilical myiasis is well-recognized in animals, infestation of human umbilical cord and abdominal tissue is a rare occurrence. Once the diagnosis has been made, the treatment is usually straightforward and uncomplicated. In this article, a newborn infant from an urban area is reported with umbilical myiasis caused by fly larvae of C. hominivorax. The blowfly causing this infestation belongs to the family Calliphoridae (Diptera) and the genus Cochliomyia that usually infests only open wounds of animals.