There is a localised, itchy, eryhtematous raised skin lesion with a central punctum through which the larva may occasionally be seen and through which it breathes. A serous, bloody and rarely purulent discharge can occur. Pain is unusual and should raise the possibility of a secondary bacterial infection.

What are the symptoms of having a bot fly?

Patients with botfly infestation often describe feeling movement under the skin as the larva feeds and grows, but it does not travel in the body. Once mature, the larva drops to the ground and pupates in soil. Signs and symptoms include a hard, raised lesion and localized erythema, pain, and edema.

How long do Botflies stay in skin?

The warmth of the host's body triggers the fly eggs to hatch, and the larvae then burrow into the subcutaneous tissue. 3 Here they can remain anywhere between 4 and 18 weeks.