A 16-year-old female with a history of recent journey to Senegal presented with a vulvar boil-like inflammatory lesion. A living insect larva was extracted from the lesion. It was identified as a Cordylobia anthropophaga larva.
Diagnosis of vulvar myiasis must be considered if vulvar boil-like inflammatory papules are found, essentially in travelers to and from endemic countries. The diagnosis is mainly clinical and its management consists of the extraction of the larva.