<human>: I know an older woman who let her dog out and when it came back inside some sort of insect jumped or flew off the dog and bit or stung her on the neck.  She now pulls clear worms with black tips from the wound.  She has been to the doctor, but no one can tell her what it is.  Do you have any insight?
<bot>: HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the old lady bitten by an insect. Apparently she is suffering from maggots infestation caused by a bot fly this is referred to as Meiosis. It is an infestation of the skin by developing larvae (maggots) of a variety of fly species the most common being human bot fly. She needs to be examined by a doctor for the following possible treatments:Debridement of the wound with irrigation to eliminate the larvae from the wound with application of chloroform, chloroform in light vegetable oil, or ether, with removal of the larvae under local anesthesia, has been found to be effective for wound meiosis. Other treatment option is by occluding or suffocating the larvae by placing petroleum jelly, liquid paraffin, beeswax or heavy oil, or bacon strips over the central puncture and has been used to coax the larvae to emerge spontaneously, and they can be caught with forceps. Hope the suggestions given above could be of great help in getting her treated early. Regards. A feedback is appreciated.