Hakeem M J M L, Bhattacharyya D N
Infectious Diseases Unit, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, United Kingdom.
Travel Med Infect Dis. 2009 Jul;7(4):198-202. doi: 10.1016/j.tmaid.2009.05.007. Epub 2009 Jun 16.
Human myiasis may be caused by several species of dipterous larvae. It is widespread in the tropics and subtropics particularly in Africa and the Americas and can occur in other parts of the world although less frequently. Larval infestation mostly affects the skin but can also involve wounds, bones, intestines and body cavities. Diagnosis is mainly clinical. The rule of treatment is to remove the larvae and treat any associated infection. Frequent international travel, immigration and rising global trade increase the likelihood of imported infestations. It is therefore vital that physicians in non-endemic areas are aware of clinical symptoms, exposure and presentation of this condition, as early recognition would prevent any costly, inappropriate treatments or complications. We report a case of imported human myiasis and present a literature review of human myiasis.
人体蝇蛆病可能由几种双翅目幼虫引起。它在热带和亚热带地区广泛存在，特别是在非洲和美洲，在世界其他地区也可能发生，不过频率较低。幼虫感染主要影响皮肤，但也可能累及伤口、骨骼、肠道和体腔。诊断主要依靠临床症状。治疗原则是清除幼虫并治疗任何相关感染。频繁的国际旅行、移民以及全球贸易的增长增加了输入性感染的可能性。因此，非流行地区的医生了解这种疾病的临床症状、暴露情况和表现至关重要，因为早期识别可以避免任何代价高昂、不恰当的治疗或并发症。我们报告一例输入性人体蝇蛆病病例，并对人体蝇蛆病进行文献综述。
