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[埃塞俄比亚一名男子由罗氏嗜皮蝇引起的播散性疖肿蝇蛆病病例的临床及寄生虫学观察]

[Clinical and parasitological observations on a case of disseminated furuncular myiasis caused by Cordylobia rodhaini in a man in Ethiopia].

作者信息

Pampiglione S, Schiavon S, Candiani G, Fioravanti M L

机构信息

Cattedra di Parassitologia, Facoltà di Medicina Veterinaria, Università di Bologna, Italia.

出版信息

Parassitologia. 1991 Dec;33(2-3):159-67.

PMID:1844507
Abstract

A severe case of myiasis is reported in an Italian technician working in a forest yard in Illubabor (Ethiopia). The patient returned to Italy with fever, malaise and scattered skin lesions: these were papular at first, and later developed into furuncle-like, intensely burning boils which spread all over the body. Neutrophilic leukocytosis was present associated with increased IgA. From the lesions, 150 larvae were recovered and identified as Cordylobia rodhaini Gedoelst (Diptera, Calliphoridae), a myiasis agent adapted to various thin-skinned mammals in African forests, rarely observed in man. This is the first case recorded in Ethiopia and represents the most massive invasion by Cordylobia spp. published so far. The 3rd stage larva is described with some morphological details not reported by previous authors.

摘要

据报道,一名在埃塞俄比亚伊鲁巴博尔的林场工作的意大利技术人员感染了严重的蝇蛆病。该患者返回意大利时伴有发热、不适和散在的皮肤病变:起初为丘疹,后来发展成疖样、剧烈灼痛的脓疱,并蔓延至全身。存在嗜中性白细胞增多症,同时伴有IgA升高。从病变部位采集到150条幼虫,经鉴定为罗氏嗜皮蝇(双翅目,丽蝇科),这是一种适应非洲森林中各种薄皮哺乳动物的蝇蛆病病原体,在人类中很少见。这是埃塞俄比亚记录的首例病例,也是迄今为止已发表的罗氏嗜皮蝇属最严重的侵袭病例。本文描述了第三期幼虫的一些形态细节,这些细节此前的作者并未报道过。

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