Department of Parasitology, Institute of Microbiology and Immunology, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
Wien Klin Wochenschr. 2008;120(19-20):619-21. doi: 10.1007/s00508-008-1004-7.
Cutaneous myiasis is a temporary parasitic infestation of the skin of domestic and wild animals and occasionally of humans by the larvae of flies. Larvae of many flies from various geographic areas can cause myiasis: in Central and South America, human cutaneous myiasis is mainly caused by the larvae of Dermatobia hominis; in Africa, by the larvae of Cordylobia anthropophaga; in the northern hemisphere (North America, Europe, Africa and Asia), by the larvae of Hypoderma spp. A case of cutaneous myiasis in a 47-year-old woman, co-author of the present report, is described. She returned to Slovenia from a three-week trip to Ladakh in Northern India. The parasite, nested in tumor-like swelling about 1-2 cm in diameter and 0.5 cm high in her neck, was removed. The parasite was identified by its morphological characteristics as the larva of Hypoderma lineatum. After the removal of the larva, which was yellowish-white, oval-shaped and about 6 mm long and 1.5 mm wide, the lesion healed in two weeks without further treatment. Clinical and laboratory staff will need to be alert in the future, not only to myiasis caused by Dermatobia and Cordylobia larvae from tropical and subtropical areas but also to Hypoderma larvae from the Himalayan area from where the patient returned to Slovenia.
皮肤蝇蛆病是一种临时的寄生虫感染，发生在动物（包括家养和野生动物）和偶尔人类的皮肤，由蝇类的幼虫引起。许多来自不同地理区域的蝇类幼虫都可能引起蝇蛆病：在中美洲和南美洲，人体皮肤蝇蛆病主要由双翅目皮蝇属的幼虫引起；在非洲，由纹皮蝇属的幼虫引起；在北半球（北美洲、欧洲、非洲和亚洲），由 Hypoderma 属的幼虫引起。本文报告了一例 47 岁女性的皮肤蝇蛆病，她是本文的共同作者。她从印度北部拉达克地区旅行回来后，脖子上长了一个直径约 1-2 厘米、高约 0.5 厘米的瘤样肿胀，里面有一只寄生虫。根据其形态特征，寄生虫被鉴定为 Hypoderma lineatum 的幼虫。在移除寄生虫后，两周内病变愈合，无需进一步治疗。未来，临床和实验室工作人员不仅需要警惕热带和亚热带地区的 Dermatobia 和 Cordylobia 幼虫引起的蝇蛆病，还需要警惕来自喜马拉雅地区的 Hypoderma 幼虫引起的蝇蛆病，因为该患者正是从那里返回斯洛文尼亚的。
