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[阿根廷布兰卡港的人体蝇蛆病。2000年/2005年期间]

[Human myiasis in Bahía Blanca, Argentina. Period 2000 / 2005].

作者信息

Visciarelli Elena, Costamagna Sixto, Lucchi Leandro, Basabe Norma

机构信息

Cátedra de Parasitología Clínica, Dpto. Biología, Bioquímica y Farmacia, Univ. Nacional del Sur, Bahía Blanca, Argentina.

出版信息

Neotrop Entomol. 2007 Jul-Aug;36(4):605-11. doi: 10.1590/s1519-566x2007000400021.

Abstract

Myiasis is the infestation of live human and vertebrate animals with dipterous larvae which, at least for a short period, feed on the host's dead or living tissue, liquid body-substance, or ingested food. The objective of this study was to identify the flies producing myiasis in Bahía Blanca city, Argentina, from 01/03/2000 to 31/05/2005. Seventeen clinical cases were studied. The larvae obtained from lesions were forwarded from laboratories and from public and private hospitals. Part of the larvae were fixed in alcohol 70 masculine and processed according to the Mazza & Jörg technique (1939). The other part continued growing in flasks with meat in laboratory conditions to obtain the adults. The etiological agents of myiasis were identified by observing the diagnostic characteristics of the larvae III and of the adults, and by using taxonomic keys. Myiasis was produced by Cochlyiomia hominivorax (Coquerel) in thirteen of the cases and by Phaenicia sericata (= Lucila sericata) (Meigen) (Diptera: Calliphoridae) in the other four. The cases were traumatic and aural myiasis and happened from December to March. The ages of patients were four to eighty-six years and 76.5% of the cases occurred in male patients. Given the aggressiveness of these larvae, mainly C. hominivorax, in causing human myiasis, the importance of specific and quick diagnosis and of adequate treatment must be acknowledged.

摘要

蝇蛆病是双翅目幼虫寄生在活体人类和脊椎动物身上的现象,这些幼虫至少在短时间内以宿主的死组织或活组织、体液或摄入的食物为食。本研究的目的是确定2000年1月3日至2005年5月31日期间在阿根廷布兰卡港市引起蝇蛆病的苍蝇种类。研究了17例临床病例。从病变部位获取的幼虫来自实验室以及公立和私立医院。部分幼虫用70%乙醇固定,并按照马扎和约尔格技术(1939年)进行处理。另一部分幼虫在实验室条件下于装有肉的烧瓶中继续生长以获得成虫。通过观察三期幼虫和成虫的诊断特征并使用分类检索表来确定蝇蛆病的病原体。13例病例的蝇蛆病由嗜人瘤蝇蛆(科克雷尔)引起,另外4例由丝光绿蝇(= 家蝇)(梅根)(双翅目:丽蝇科)引起。这些病例为创伤性和耳部蝇蛆病,发生在12月至3月。患者年龄在4岁至86岁之间,76.5%的病例发生在男性患者中。鉴于这些幼虫,主要是嗜人瘤蝇蛆,在引起人类蝇蛆病方面的侵袭性,必须认识到特异性快速诊断和适当治疗的重要性。

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