Soleimani-Ahmadi Mussa, Vatandoost Hassan, Hanafi-Bojd Ahmad Ali, Poorahmad-Garbandi Fatemeh, Zare Mehdi, Hosseini Seyed Mohammad Vahid
Department of Medical Entomology and Vector Control, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran ; Infectious Diseases Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Medical Entomology and Vector Control, School of Public Health and National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
J Arthropod Borne Dis. 2013 Aug 31;7(2):194-8. eCollection 2013.
Wound or traumatic Myiasis is the infestation of animal and human orifices or wounds by dipterous larvae. It is more common in tropical and sub-tropical countries. Chrysomya bezziana is a major agent of wound myiasis throughout the tropical regions of the Old World. In Iran many cases of human myiasis due to C. bezziana were reported from south and south-east of country. This study reports a case of wound myiasis in a 3-year-old pharyngostomized girl who referred to the Pediatric Hospital in Bandar Abbas for pharyngological follow-up. During the examination, several live and mobile larvae were removed from the lesion. The patient received antibiotics and then transferred to pediatric ward for respiratory care. The specimens were identified as C. bezziana according to the morphological characters of fully grown larvae. This is the first report of the pharyngostomy wound myiasis caused by C. bezziana in Iran. This finding also confirms the results of previous studies indicating the occurrence of the Old World screwworm fly, C. bezziana as a causative agent of human myiasis in the south of Iran.
创伤性蝇蛆病是双翅目幼虫对动物和人类的孔窍或伤口的侵袭。它在热带和亚热带国家更为常见。嗜人锥蝇是旧世界热带地区创伤性蝇蛆病的主要病原体。在伊朗，该国南部和东南部报告了多起因嗜人锥蝇导致的人类蝇蛆病病例。本研究报告了一名3岁行咽造口术的女孩发生创伤性蝇蛆病的病例，该女孩因咽部随访转诊至阿巴斯港的儿科医院。在检查过程中，从病变部位取出了几只活的、可活动的幼虫。患者接受了抗生素治疗，然后被转到儿科病房进行呼吸护理。根据成熟幼虫的形态特征，标本被鉴定为嗜人锥蝇。这是伊朗首例由嗜人锥蝇引起的咽造口术伤口蝇蛆病报告。这一发现也证实了先前研究的结果，表明旧世界螺旋蝇，即嗜人锥蝇在伊朗南部是人类蝇蛆病的病原体。
