Toe larvae

A 21 year old, otherwise healthy man presented with a problem with his great toe. He had recently lost his nail in an accident while wading in the ocean and had swum in a swimming pool that was likely not well chlorinated.

As you can see from the image (taken and emailed from his physician’s iphone!) there are numerous larvae that were described and “very active”.

BCCDC identified the larva as Phormia regina – the black blow fly.

After soaking his toe in warm water for 20 minutes the larvae easily came off.