Kaouech E, Kallel K, Belhadj S, Chaker E
Laboratoire de Parasitologie-Mycologie, Hôpital La Rabta, Tunis, Tunisie.
Med Trop (Mars). 2010 Apr;70(2):135-6.
Human cutaneous myiasis is a common dermatosis in tropical zones. The purpose of this report is to describe the first imported case of furuncular myiasis caused by Dermatobia hominis (human botfly) in Tunisia. The patient was a man returning from Bolivia. Furuncular myiasis was suspected based on epidemiological data and clinical examination showing pruriginous elevated lesions. Diagnosis was confirmed by identification of Dermatobia hominis larvae. Treatment was based mainly on manual removal of larvae. Since furuncular myiasis is unknown in Tunisia, it is important to remember this parasitic disease in differential diagnosis in patients presenting boil-like inflammatory papules following travel to Latin America.
人类皮肤蝇蛆病是热带地区常见的一种皮肤病。本报告旨在描述突尼斯首例由人肤蝇(人皮蝇)引起的疖肿型蝇蛆病输入病例。患者为一名从玻利维亚回国的男性。根据流行病学数据和临床检查发现瘙痒性隆起病变,怀疑为疖肿型蝇蛆病。通过鉴定人肤蝇幼虫确诊。治疗主要基于手工清除幼虫。由于突尼斯对疖肿型蝇蛆病并不了解,对于前往拉丁美洲旅行后出现疖样炎性丘疹的患者,在鉴别诊断中记住这种寄生虫病很重要。