Q. I have skin rash that led to open wounds. What is it?

Answered by
Dr. Shama Naaz
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 23, 2020

I've gone to the dermatologist once and my doctor's office once where there was a dermatologist there. I had gotten some kind of rash I have never seen before on my skin which led to open wounds I thought I had some kind of bugs both of them told me it was eczema. Which it could be but then with some further investigation I read online that some flies can get into your skin either through open wounds or some other ways.

I had looked up flies because I noticed little black dots on my wounds and I noticed tiny black flies in my house especially near my sink and such. This is the second time above my eye has blown up and when I tried to squeeze it it looks like tiny worms coming out. I really don't know what to do and I'm scared and need help please. I know that I had eczema when I was a baby once but it was way different looking on this. The dermatologist prescribed medication which was a steroid and it did'nt go away. It gets worse at times especially when I think the larva is in me. I am taking birth control pill, adderall and sometimes klonopin for medication.

#

Hi, welcome to icliniq, Don’t worry, lets look into your symptoms one by one- You complained of a skin rash, that led to open wounds. You have not mentioned the duration of symptoms. You are suspecting this to be due to flies. Myiasis is the infestation by maggots (larvae) of houseflies , which feed on dead tissues, it is a rare condition usually seen in patients who have poor immunity (like in HIV or diabetic patients), old age or poor hygiene and those who are unable to take care of themselves.

The chances of myiasis in healthy individuals with good immunity , who take proper care and maintain hygiene is very low. You also complained of swelling in your eye lid and after squeezing, worm like things came out. I think the swelling might be a stye/ infected chalazion ( bacterial infection of gland in eyelid) and releases cheese like material, which is actually a secretion of gland that has build up inside. It will go away by applying warm compresses over your eyelid. And please send me a picture of your skin problems, it would help me further to proceed towards a particular diagnosis.


Regarding follow up:

With proper photos


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