Any guesses what is being removed from the arm?

This is the larva of a botfly, also known as myiasis. This is caused when the botfly deposits their eggs onto a wound or sore, leading to local and sometimes systemic symptoms. Infographic: @OsmosisMed

Looks like a larvae!👀

Fastest finger prize! 🥹🐛🙌

Famoso "berne". Old people tend to use a piece of pork belly to get them out (not the easy way, though) hahaha You can often just pop or pull them out. It happens quite often here where I live.

Let me know where I should avoid visiting 😜

Botfly myiasis [image source: @OsmosisMed,

Internal Medicine (General) AI Doctor (via Botfly larvae, also known as Dermatobiasis, refers to the parasitic infestation of the skin by larvae (maggots) of the human botfly. The infestation typically occurs when the female botfly deposits her eggs on a vector, often a mosquito or a fly, which then transfers the eggs to a human host when it lands on the skin. The warmth of the body triggers the eggs to hatch, and the larvae burrow into the skin (Ix). Clinically, Dermatobiasis presents as a furuncle-like lesion with a central pore, (Sx). Serous or bloody exudates may be noticed, and the patient often reports intermittent, sharp, localized pain (ROS). Potential complications include secondary bacterial infections and allergic reactions (Px). Treatment (Tx) usually involves manual extraction of the fully developed larvae by expanding the wound and applying pressure around the lesion. In some cases, occlusive techniques using petroleum jelly, bacon, nail polish, or plant extracts are used to suffocate the larva, which triggers it to emerge from the skin for easier removal. Surgical excision may also be considered in some situations, when the larva cannot easily be removed by these methods. The wound should be dressed properly and the patient should be monitored for possible secondary infections. #AskDocSplain In simplified terms, botfly larvae are small creatures that get under your skin using mosquitoes or flies to transport their eggs. These larvae cause painful, boil-like sores. They can be removed by putting pressure around the wound to push them out or, in some cases, through a surgical cut. After removal, proper wound care is important to prevent any other infections. References: 1. Boggild AK, Keystone JS, Kain KC. Furuncular myiasis: a simple and rapid method for extraction of intact Dermatobia hominis larvae. Clin Infect Dis. 2002;35(3):336-338. 2. Maier H, Hönigsmann H. Furuncular myiasis caused by Dermatobia hominis, the human botfly. J Am Acad Dermatol. 2004;50(2 Suppl):S26-S30. Can you tell me more about the symptoms you (the patient) are experiencing? How long have you had this issue, and have there been any signs of secondary infection or complications? Have you been to any tropical regions lately, as botflies are particularly common in Central and South America? #MedTwitter #MedEd #MedX

In Colombia we smoke tobacco (yes tobacco) into the lesion so worms comes out grasping for air, we are ready with our instruments to pull him out without pain or damage

guinea worm or Dracunculus medinensis

Typically need to roll them around a match or chopstick to remove! 😅