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医院获得性鼻腔蝇蛆病:一例插管患者

Nosocomial nasal myiasis in an intubated patient.

机构信息

Department of Medicine, Chutung Veterans Hospital, Hsinchu, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2011 Aug;74(8):369-71. doi: 10.1016/j.jcma.2011.06.001. Epub 2011 Jul 23.

DOI:10.1016/j.jcma.2011.06.001
PMID:21872818
Abstract

We report a case of nasal myiasis caused by Sarcophaga spp., noted during hospitalization. A 74-year-old man was admitted with non-ST-elevation myocardial infarction. The patient underwent coronary arterial bypass surgery and was then mechanically ventilated by means of a nasotracheal tube for the next 8 days. After extubation, a total of seven maggots were retrieved from both nostrils. The larvae were removed and reared to mature flies, which were identified as Sarcophaga peregrina. From the clinical course and the fly's life cycle, it was concluded that the infestation was hospital-acquired.

摘要

我们报告了一例由 Sarcophaga spp.引起的鼻腔蝇蛆病,该病例在住院期间被发现。一名 74 岁的男性因非 ST 段抬高型心肌梗死入院。患者接受了冠状动脉旁路手术,随后通过经鼻气管插管进行机械通气 8 天。拔管后,从两个鼻孔共取出了 7 条蛆。将幼虫取出并饲养至成熟苍蝇,鉴定为麻蝇(Sarcophaga peregrina)。根据临床经过和蝇的生命周期,可得出感染是医院获得性的。

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