TWO CASES OF MYIASIS OF THE SCAL By P. K. KURUP, Medical Officer, Taliparamba, N. Malabar. Case 1.?A female patient, aged 16, appeared at the out-patient department on 29th August, 1930, with a swelling of the scalp. Duration, 3 months. It was, she stated, very small in the beginning, but gradually it became as big as an areca-nut. A sensation of something crawling from within the tumour was experienced by the patient and there were occasional smarting and gnawing sensations. The tumour was operated upon by me and it was found to be a case of myiasis of the scalp. There were a number of dead and living larvae in the tumour which was bored in several places by the active larvae. The swelling was devoid of skin except at its pedicle. The larva? were sent to the Calcutta School of Tropical

Medicine for identification* Case 2.?A patient, male, aged eight, came to me with a circular sessile swelling with a diameter of 2 inches, on the upper and posterior aspect of the scalp. The duration was one month. The surface of the tumour was excoriated, hyperaemic, and presented a few perforations of crateriform shape and in fact it had the appearance of a typical carbuncle. Operation was performed immediately and myiasis of the scalp was determined conclusively. The larvae were small, resembled those of the previous case. In this case the swelling was sessile and that of the previous case was pedunculated; therefore both sessile and pedunculated swellings can be found in myiasis of the scalp. This patient had a lot of Pediculus capitis on his head. * These found to belong to the genus were Calliphora (sp.?) (The identification of species from larvae is very difficult.)?Ed., I. M. G.