Boruk Marina, Rosenfeld Richard M, Alexis Richard
SUNY Downstate Medical Center/Long Island College Hospital, Department of Otolaryngology, Brooklyn, NY 11201, USA.
Int J Pediatr Otorhinolaryngol. 2006 Feb;70(2):335-8. doi: 10.1016/j.ijporl.2005.06.025. Epub 2005 Aug 22.
To report a new cause of peri-auricular mass in children: cutaneous myiasis-botfly infestation. Case report. The human botfly (Dermatobia hominis) is found in the tropics of Central and South America. However, cases of infestation are uncommon in the United States. We present the case of a 5-year-old girl with cutaneous myiasis in order to expand the differential diagnosis for a peri-auricular mass in children. In our report, the parasite was initially identified as sparganum, but was later reclassified by the center for disease control and prevention (CDC) as a botfly larva. Parasitic infection should be considered with a newly noted head and neck mass, and cutaneous myiasis should be included in the differential diagnosis. Cutaneous myiasis has not been previously reported in the literature describing the peri-auricular region as the site of occurrence. Furthermore, when an unusual parasite is extracted from a lesion, it should be confirmed by an authority such as CDC for definitive diagnosis, so appropriate plan of care and follow up can be instituted.
皮肤蝇蛆病——马蝇感染。病例报告。人肤蝇（人皮蝇）见于中美洲和南美洲的热带地区。然而，在美国，感染病例并不常见。我们报告一例5岁女童患皮肤蝇蛆病的病例，以拓宽儿童耳周肿物的鉴别诊断范围。在我们的报告中，该寄生虫最初被鉴定为裂头蚴，但后来疾病控制与预防中心（CDC）将其重新分类为马蝇幼虫。对于新发现的头颈部肿物，应考虑寄生虫感染，皮肤蝇蛆病应列入鉴别诊断范围。此前尚无文献报道皮肤蝇蛆病发生于耳周区域。此外，当从病变中取出异常寄生虫时，应由疾病控制与预防中心等权威机构进行确诊，以便制定适当的护理和随访计划。
