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口腔蝇蛆病——病例报告

Oral myiasis--a case report.

作者信息

Singla Vikas

机构信息

Department of Oral Medicine and Radiology, Yamuna Institute of Dental Sciences and Research, Gadholi, Distt Yamunanagar, Haryana, India.

出版信息

J Oral Maxillofac Surg. 2013 Sep;71(9):1555.e1-4. doi: 10.1016/j.joms.2013.03.013. Epub 2013 May 3.

Abstract

Myiasis, a term introduced by William Hope in 1840, refers to the invasion of tissues and organs of animals and human wounds and certain body cavities by the dipteran larvae, which manifests as subcutaneous furunculoid or boil-like lesions. Oral myiasis is a rare pathology and a risk to the patient's life. A higher incidence is seen in rural areas, affecting the tropical and subtropical zones of Africa and America. It can be secondary to medical or anatomic conditions, such as cancrum oris, neglected mandibular fracture, cerebral palsy, mouth breathing, anterior open bite, incompetent lips, and use of mechanical ventilation. Myiasis also has been described after tooth extraction. All these conditions more easily allow the infestation of human tissues. Myiasis affecting the orodental complex is rare. This case report describes oral myiasis in a 25-year-old male patient who was a gardener by profession. The lesion was treated with turpentine oil, which forced the larvae out, and irrigated with normal saline solution.

摘要

蝇蛆病这一术语由威廉·霍普于1840年提出,指双翅目幼虫侵入动物的组织和器官、人类伤口及某些体腔,表现为皮下疖样或疖肿样病变。口腔蝇蛆病是一种罕见的病理情况,对患者生命构成威胁。在农村地区发病率较高,影响非洲和美洲的热带及亚热带地区。它可能继发于医学或解剖学状况,如坏疽性口炎、被忽视的下颌骨折、脑瘫、口呼吸、前牙开颌、唇部功能不全以及使用机械通气。拔牙后也有蝇蛆病的报道。所有这些情况更容易导致人体组织受到感染。影响口腔颌面部复合体的蝇蛆病很罕见。本病例报告描述了一名职业为园丁的25岁男性患者的口腔蝇蛆病。病变用松节油治疗,将幼虫驱出,并用生理盐水冲洗。

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