Rubio Cristina, Ladrón de Guevara Concepción, Martín María A, Campos Lucía, Quesada Alicia, Casado Mariano
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain.
Actas Dermosifiliogr. 2006 Jan-Feb;97(1):39-42. doi: 10.1016/s0001-7310(06)73346-4.
We report three cases of myiasis in patients with tumor-lesions. The first patient, a 54-year-old male, presented with laryngeal carcinoma with extensive local involvement, forming a large tumorous mass on the front of the neck that had been irradiated, where several active larvae were seen. The other two patients, females aged 101 and 87 years, respectively, presented with skin tumors on the scalp and face, and several active larvae could be seen in these tumors. After microbiological examination of the larvae removed, the species in the first case was identified as Chrysomya, while the species in the other two cases was Sarcophaga. Several risk factors for developing myiasis have been described, such as advanced age, poor hygiene, diabetes mellitus, venous insufficiency, etc. These manifestations are self-limited, but in most cases treatment is necessary. This consists of cleaning and mechanical removal of visible larvae, with or without occlusion methods.
我们报告了3例肿瘤病变患者发生蝇蛆病的病例。首例患者为一名54岁男性,患有喉癌且局部广泛受累,在颈部前方形成一个接受过放射治疗的巨大肿瘤块,在该肿瘤块中可见数条活动的幼虫。另外两名患者分别为101岁和87岁的女性,她们分别在头皮和面部出现皮肤肿瘤,在这些肿瘤中也可见数条活动的幼虫。对取出的幼虫进行微生物学检查后,首例病例中的物种被鉴定为金蝇属,而另外两例中的物种为麻蝇属。已经描述了几种发生蝇蛆病的危险因素,如高龄、卫生条件差、糖尿病、静脉功能不全等。这些表现具有自限性,但在大多数情况下需要进行治疗。治疗包括清洁和机械清除可见的幼虫,可采用或不采用封堵方法。