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面部鳞状细胞癌广泛蝇蛆病感染。病例报告。

Extensive myiasis infestation over a squamous cell carcinoma in the face. Case report.

作者信息

Gabriel João Guilherme, Marinho Sandra Aparecida, Verli Flaviana Dornela, Krause Ricardo Guilherme, Yurgel Liliane Soares, Cherubini Karen

机构信息

Stomatology PhD Program, School of Dentistry, Pontifical Catholic University, Porto Alegre, Brasil.

出版信息

Med Oral Patol Oral Cir Bucal. 2008 Jan 1;13(1):E9-11.

PMID:18167489
Abstract

Human myiasis is a parasitosis found in tropical and underdeveloped countries. It usually affects the elderly, unhealthy and mentally disabled individuals. It is caused by dipterous that lay their eggs in necrotic or infected tissues, although areas of the body that are apparently healthy can also be affected. Frequently the fly deposits several eggs on the peripheral parts of scratches and wounds. The treatment of myiasis involves mechanical removal of the larvae with hemostatic pincers. Larvae rupture must be avoided. Application of topical ether or similar volatile substance is useful. Preventive approach measures, including basic health care, hygiene, access to primary health service, and safe water and drainage, are fundamental to prevent human myiasis. The authors present a case report of myiasis infestation over an extensive head and neck squamous cell carcinoma from a 72-year-old patient living in a rural area. Approximately 200 larvae were removed and the patient was taken to the hospital's head and neck surgery service.

摘要

人体蝇蛆病是一种在热带和不发达国家发现的寄生虫病。它通常影响老年人、不健康者和精神残疾者。它是由双翅目昆虫引起的,这些昆虫在坏死或感染的组织中产卵,尽管身体表面看似健康的部位也可能受到影响。苍蝇经常在抓伤和伤口的周边部位产下数枚卵。蝇蛆病的治疗包括用止血钳机械清除幼虫。必须避免幼虫破裂。局部应用乙醚或类似的挥发性物质是有用的。预防措施,包括基本医疗保健、卫生、获得初级卫生服务以及安全的水和排水设施,对于预防人体蝇蛆病至关重要。作者报告了一例来自农村地区的72岁患者,广泛的头颈部鳞状细胞癌发生蝇蛆感染的病例。大约清除了200条幼虫,并将患者送往医院的头颈外科。

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