Answer: You should tell the clinician that this is likely a free living insect larvae and that there is no need for further concern. In this instance, the clinical presentation does not suggest myiasis since the larvae was not found within human tissues. Furthermore, this larva clearly has legs, which is NOT a feature of myiasis-causing fly larvae.
Upon further questioning, the patient reported what appeared to be a moth's nest in the box springs of his bed. The nest contained larvae that were identical to what is shown.