Pica R, Castellano C, Pignata D, Ipri D
Azienda Ospedaliera San Giovanni-Addolorata, Roma, Italia.
Clin Ter. 2008 Nov-Dec;159(6):431-3.
Myiasis is a self-limiting infestion of tissues by fly larvae commonly referred as maggots. A case of cutaneous myiasis in a 61 year old woman admitted to the Department of Emergency of S. Giovanni Hospital in Rome (Italy) is reported in the present note. The patient, a religious sister, returned to Rome from a mission trip of few weeks in Edea (Cameroon, Africa), was suffering from a subclavicular furuncular skin lesion; one maggot was surgically removed and submitted for parasitological examination. Based on the maggot shape and size, the travel history and the clinical presentation, a maggot of Cordylobia spp. has been identified (Calliphoridae, Diptera). This case calls for an awareness of its possibility as a cause of furuncular skin lesion, particularly in subjects returning from an endemic country for Cordylobia spp. (Africa).
蝇蛆病是一种由蝇幼虫对组织的自限性感染，这些幼虫通常被称为蛆虫。本报告记录了一名61岁女性的皮肤蝇蛆病病例，该患者入住罗马（意大利）圣乔瓦尼医院急诊科。患者是一名修女，从非洲喀麦隆埃代亚进行了为期数周的传教之旅返回罗马，患有锁骨下疖肿性皮肤病变；手术取出一条蛆虫并进行寄生虫学检查。根据蛆虫的形状和大小、旅行史及临床表现，鉴定为刚果嗜皮蝇属（丽蝇科，双翅目）的蛆虫。该病例提醒人们注意其作为疖肿性皮肤病变病因的可能性，尤其是在从刚果嗜皮蝇属（非洲）流行国家返回的人群中。
