Dagci Hande, Zeyrek Fadile, Gerzile Yesim Kosay, Sahin Serap Baydur, Yagci Sukran, Uner Ahmet
Ege University Faculty of Medicine Department of Parasitology, Izmir, Turkey.
Parasitol Int. 2008 Jun;57(2):239-41. doi: 10.1016/j.parint.2007.12.010. Epub 2008 Jan 4.
Myiasis infestations caused by the larvae of flies mostly belonging to Cyclorapha suborders are frequently encountered in Turkey, which is located in the subtropical zone. The skin is a common site for myiasis, and the infestations are likely to develop in infected tissues and poorly attended wounds of the skin. The case, a 30-year-old male patient, was diagnosed with psoriasis 18 years ago. He had psoriatic scales on his right big toe and was receiving corticosteroid and immunosuppressive drugs. A total of 11 fly larvae were removed from the infected right first toe of the patient. Structures of the stigmas seen in the cross-sections taken from the final segments of these larvae were examined and determined as Sarcophaga spp. larvae. Patients with infected tissues should be extremely cautious about their wound hygiene and take required fly control measures especially during summer as flies can find a suitable environment for sustenance.
在位于亚热带地区的土耳其，由主要属于环裂亚目的蝇类幼虫引起的蝇蛆病感染很常见。皮肤是蝇蛆病的常见发病部位，感染很可能在受感染组织和护理不佳的皮肤伤口中发生。该病例为一名30岁男性患者，18年前被诊断患有银屑病。他右大脚趾有银屑病鳞屑，正在接受皮质类固醇和免疫抑制药物治疗。从该患者受感染的右第一趾共取出11只蝇幼虫。对从这些幼虫末节获取的横切面中所见气门结构进行检查，确定为肉蝇属幼虫。有感染组织的患者应极其谨慎地注意伤口卫生，并采取必要的防蝇措施，尤其是在夏季，因为苍蝇能找到适宜的生存环境。
