Alkorta Gurrutxaga M, Beristain Rementeria X, Cilla Eguiluz G, Tuneu Valls A, Zubizarreta Salvador J
Servicio de Microbiología, Hospital Donostia, Apartado de Correos 477, 20080 San Sebastián, Gipuzkoa.
Rev Esp Salud Publica. 2001 Jan-Feb;75(1):23-9.
The progressive increase in the number of people traveling to tropical countries has led to imported diseases becoming of increasingly greater importance. Cutaneous myasis (or fly larva infestations) are found among this type of diseases particularly frequent in tropical countries. Based on the observation of a case of massive cutaneous myasis by Cordylobia antropophaga of a 34 year old woman upon her return from a trip to Senegal, a review has been made of the major cases of furunculoid cutaneous myasis published in Spain, as well as of the biology, pathology, treatment and prevention of human myasis by Cordylobia anthropophaga. The aforesaid case was characterized by the infestation of an unusually large number of larvae, the etiology of which was not suspected until the final stage of the disease. Although the cases of cutaneous myasis are not as serious as other imported diseases, a knowledge of this disease is necessary from the preventive, diagnostic and curative standpoint. It is important to proceed to the identification of the larvae by distinguishing them from another type of myasis involving different therapeutic implications.
前往热带国家旅行的人数不断增加,导致输入性疾病变得越来越重要。皮肤蝇蛆病(或蝇幼虫感染)在这类疾病中较为常见,在热带国家尤为频繁。基于对一名34岁女性从塞内加尔旅行归来后发生的由嗜人瘤蝇引起的大规模皮肤蝇蛆病病例的观察,对西班牙发表的主要疖肿样皮肤蝇蛆病病例以及嗜人瘤蝇引起的人类蝇蛆病的生物学、病理学、治疗和预防进行了综述。上述病例的特征是大量幼虫感染,直到疾病后期才怀疑其病因。虽然皮肤蝇蛆病病例不像其他输入性疾病那样严重,但从预防、诊断和治疗的角度来看,了解这种疾病是必要的。通过将幼虫与另一种具有不同治疗意义的蝇蛆病区分开来进行幼虫鉴定很重要。