由罕见寄生幼虫嗜人丽蝇引起的眼外蝇蛆病
External Ophthalmomyiasis Caused by a Rare Infesting Larva, Sarcophaga argyrostoma.
作者信息
Graffi Shmuel, Peretz Avi, Wilamowski Amos, Schnur Heather, Akad Fouad, Naftali Modi
机构信息
Department of Ophthalmology, Baruch Padeh Medical Center Affiliate of the Faculty of Medicine, Bar-Ilan University, 15208 Poriya, Israel.
Clinical Microbiology Laboratory, Baruch Padeh Medical Center Affiliate of the Faculty of Medicine, Bar-Ilan University, 15208 Poriya, Israel.
出版信息
Case Rep Ophthalmol Med. 2013;2013:850865. doi: 10.1155/2013/850865. Epub 2013 Dec 22.
Purpose. External ophthalmomyiasis (EO) is caused by infesting larvae belonging to various species of flies. Most documented cases result from sheep (Oestrus ovis) and Russian (Rhinoestrus purpureus) botfly larvae, but we recently discovered a rare case of EO caused by flesh fly (Sarcophaga argyrostoma) larvae. Here, we report the case of a patient with EO who had been hospitalized and sedated for 1 week because of unrelated pneumonia. Methods. Case report. Results. A total of 32 larvae were removed from the adnexae of both eyes. Larvae identification was confirmed through DNA analysis. Treatment with topical tobramycin resulted in complete resolution of EO. Conclusion. EO can be caused by S. argyrostoma, and the elderly and debilitated may require extra ocular protection against flies during sedation.
目的。眼外蝇蛆病（EO）由多种蝇类的寄生幼虫引起。大多数有记录的病例是由羊狂蝇（Oestrus ovis）和紫鼻狂蝇（Rhinoestrus purpureus）的幼虫所致，但我们最近发现了一例罕见的由肉蝇（Sarcophaga argyrostoma）幼虫引起的眼外蝇蛆病。在此，我们报告一例因无关的肺炎住院并接受了1周镇静治疗的眼外蝇蛆病患者的病例。方法。病例报告。结果。从双眼附件共取出32条幼虫。通过DNA分析确认了幼虫的鉴定。局部应用妥布霉素治疗使眼外蝇蛆病完全消退。结论。眼外蝇蛆病可由肉蝇引起，老年人和身体虚弱者在镇静期间可能需要额外的眼部防蝇保护。
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