González M Mauricio, Comte M Greissy, Monárdez P Javiera, Díaz de Valdés L Marcelo, Matamala C Iván
Clinica Hospital del Professor, Santiago, Chile.
Rev Chilena Infectol. 2009 Jun;26(3):270-2. Epub 2009 Jun 25.
Myiasis is a parasitic infestation of human or animal skin, necrotic tissues and natural cavities by fly larvae or pupa. In this paper we will describe the case of a 27 years old woman, asymptomatic, that spontaneously eliminated from her vagina two Eristalis tenax larvae, a worldwide distributed fly specie, classified as an accidental myiasis agent. The patient lived in an urban area, she had low socioeconomic status and she had the antecedent record of use of intravaginal vegetables as sexual stimulator. Analyzing the case and the references, we concluded the patient had an accidental infestation by E. tenax, being the vaginal introduction of vegetables the most probable mechanism of transmission. This kind of infestation has not been communicated in the literature. Also, this is the first documented case of E. tenax myiasis in Chile.
蝇蛆病是一种由蝇幼虫或蛹寄生在人或动物皮肤、坏死组织及天然腔道内的疾病。在本文中,我们将描述一名27岁无症状女性的病例,她从阴道内自行排出了两条黑足金蝇幼虫,黑足金蝇是一种分布于全球的蝇类,被归类为偶发性蝇蛆病病原体。患者居住在城市地区,社会经济地位较低,有将阴道内塞入蔬菜作为性刺激手段的既往史。通过对该病例及参考文献的分析,我们得出结论,患者是由黑足金蝇意外感染,阴道内塞入蔬菜是最可能的传播机制。这种感染在文献中尚未见报道。此外,这是智利首例有记录的黑足金蝇蝇蛆病病例。