Jacobs Bryan, Brown David L
Section of Plastic Surgery, Department of Surgery, The University of Michigan, Ann Arbor, Michigan, USA.
Can J Plast Surg. 2006 Spring;14(1):31-2. doi: 10.1177/229255030601400105.
Dermatobia hominis, the botfly, is indigenous to Central and South America. Its usual host is a mammal, often a horse or cow. Cutaneous furuncular myiasis, human infestation by the botfly, has rarely been reported. Symptoms of infestation include a locally painful, firm furuncular lesion, often with a centrally located pore. Due to their infrequent occurrence, these lesions are often misdiagnosed as cellulitis, leishmaniasis, furunculosis, staphylococcal boil, insect bite or sebaceous cyst - conditions with similar presentations. The present case reiterates the need to think of 'zebras' when hearing 'hoof beats' that may have originated in a different land.
人皮蝇（Dermatobia hominis）原产于中美洲和南美洲。它通常的宿主是哺乳动物，常为马或牛。皮肤疖肿性蝇蛆病，即人皮蝇对人类的感染，鲜有报道。感染症状包括局部疼痛、坚实的疖肿性损害，通常中央有一个小孔。由于其发病不常见，这些损害常被误诊为蜂窝织炎、利什曼病、疖病、葡萄球菌疖、昆虫叮咬或皮脂腺囊肿——这些病症表现相似。本病例再次强调，当听到可能源自不同地区的“马蹄声”时，要有想到“斑马”（罕见病）的意识。
