Tu Wu-Chun, Chen Hsin-Cheng, Chen Ke-Min, Tang Li-Cheng, Lai Shih-Chan
Department of Entomology, National Chung-Hsing University, Taichung 402, Taiwan.
J Clin Gastroenterol. 2007 Apr;41(4):400-2. doi: 10.1097/01.mcg.0000212615.66713.ba.
Here we reported the first case in Taiwan of human intestinal myiasis caused by larvae of Telmatoscopus albipunctatus. The 21-year-old male patient experienced gastroenteritis and anal itching. During the patient's first hospital visit the doctor suspected Enterobius infection. After treatment with anthelmintic mebendazole, 5 live larvae were passed out in the feces. Symptoms were resolved a few days later. The larvae were brown and slender, measuring approximately 10 mm in length. The worms were located in the intestine. Subsequent examination showed that the cause was an infestation of larvae of T. albipunctatus. The patient was likely infected by ingestion of eggs or early-stage larvae in contaminated food.
在此，我们报告台湾首例由白纹厕蝇幼虫引起的人体肠道蝇蛆病病例。该21岁男性患者出现肠胃炎和肛门瘙痒症状。患者首次就诊时，医生怀疑是蛲虫感染。使用驱虫药甲苯达唑治疗后，粪便中排出了5条活幼虫。几天后症状缓解。这些幼虫呈褐色且细长，长度约为10毫米。虫体位于肠道内。后续检查表明病因是白纹厕蝇幼虫感染。患者很可能是因摄入受污染食物中的虫卵或早期幼虫而被感染。
