用呋喃西林非手术治疗由嗜人锥蝇引起的口腔蝇蛆病：2例报告

Oral myiasis caused by Cochliomyia hominivorax treated nonsurgically with nitrofurazone: report of 2 cases.

作者信息

Lima Júnior Sergio Monteiro, Asprino Luciana, Prado Angelo Pedro, Moreira Roger Willian Fernandes, de Moraes Márcio

机构信息

Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, Piracicaba Dental School, State University of Campinas-UNICAMP, Piracicaba, SP, Brazil.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Mar;109(3):e70-3. doi: 10.1016/j.tripleo.2009.11.014.

DOI:10.1016/j.tripleo.2009.11.014

PMID:20219589

Abstract

Accidental oral myiasis are caused by ingestion of fly's eggs or direct oviposition over a compromised area of the host. Here the authors report 2 cases of accidental oral myiasis caused by direct oviposition over an edentulous area in the first patient and in the periodontium in the second patient. Both cases were treated successfully with topical applications of nitrofurazone during a 3-day period. No surgical procedures were required. Flushing the wound with nitrofurazone caused the maggots to endure a liquid-filled anaerobic environment. Healing was uneventful in the 2 cases presented and no adverse reactions were observed during the treatment after 2 months of follow-up. The maggots of both patients were identified as Cochliomyia hominivorax.

摘要

意外性口腔蝇蛆病是由于摄入蝇卵或蝇直接在宿主的受损部位产卵所致。在此，作者报告了2例意外性口腔蝇蛆病病例，第一例是蝇直接在无牙区产卵，第二例是在牙周组织产卵。两例均在3天内通过局部应用呋喃西林成功治愈。无需进行外科手术。用呋喃西林冲洗伤口使蛆虫处于充满液体的厌氧环境中。所呈现的这2例病例愈合顺利，随访2个月后治疗期间未观察到不良反应。两名患者的蛆虫均被鉴定为嗜人瘤蝇。