Abosdera Mostafa Mohamed, Morsy Tosson A
J Egypt Soc Parasitol. 2013 Dec;43(3):737-46. doi: 10.12816/0006430.
Myiasis is a problem of medical veterinary and real economic importance which affects the human welfare worldwide particularly in animal raising countries. Myiasis of man and animals is a real welfare problem of worldwide distribution. The most important insects from medical point of view are the blood suckers or the insect-borne diseases. Still others, almost non-blood suckers, but may attack man and animal to deposit their eggs or larvae causing pathogenic conditions in skin, nose, eye, lung, ear, anus, and vagina but oral manifestation is exceptional. This study focused on the clinical pictures and pathogenesis of human oral cavity myiasis. Thirteen cases were demonstrated for the first time in Egypt, ten children and the parents of three children. The extracted larvae were Lucilia sericata (four cases), Wohlfahrtia magnifica (three cases), Oestrus ovis (three children and their parents) and Musca domestica vicina (one case). The presence of O. ovis in three children and their parents recommended zoonotic myiasis. The predisposing factors were mouth breathing, incompetent lips, low socioeconomic condition, malnutrition, and inability of a child to perform daily activities due to the neurodegenerative disease.
蝇蛆病是一个具有医学、兽医及实际经济重要性的问题，它影响着全球人类的福祉，在畜牧国家尤为如此。人和动物的蝇蛆病是一个分布于全球的实实在在的福利问题。从医学角度来看，最重要的昆虫是吸血昆虫或传播昆虫疾病的昆虫。还有一些昆虫，几乎不吸血，但可能会攻击人和动物以产卵或幼虫，从而在皮肤、鼻子、眼睛、肺部、耳朵、肛门和阴道引发致病状况，但口腔表现较为罕见。本研究聚焦于人类口腔蝇蛆病的临床表现和发病机制。在埃及首次展示了13例病例，其中10名儿童以及3名儿童的父母。提取出的幼虫分别为丝光绿蝇（4例）、沃氏麻蝇（3例）、羊狂蝇（3名儿童及其父母）和厩螫蝇（1例）。3名儿童及其父母体内存在羊狂蝇表明存在人畜共患蝇蛆病。诱发因素包括口呼吸、唇部功能不全、社会经济状况差、营养不良以及儿童因神经退行性疾病而无法进行日常活动。
