This is the larva of a Tumbu Fly. This came out of someone’s back. He was new to the area and was complaining about a mosquito bite that was hurting. I pulled out our lonely planet guide to cameroon to find something exotic to make him scared. I started reading about the Tumbu fly and while he was freaking out, I began to freak out because as I looked at the bite and kept reading, I realized that he might actually have one of these in his skin. Sure enough, after smearing a little bit of burn gel on it (to suffocate it) it began to squirm and we all began to scream. Our malagasy companion bravely performed a surgery and pulled out the little maggot. It was like an episode of alien vs. predator.