Mammino Jere, Lal Karan
Advanced Dermatology, Orlando, Florida.
New York College of Osteopathic Medicine, Old Westbury, New York.
J Clin Aesthet Dermatol. 2013 Dec;6(12):47-9.
Myiasis is a tropical infection most often caused by Dermatotobia hominis, also known as the botfly. It is rarely seen in the United States. The infection has a slow evolution and often presents with painful lesions that mimic furunculosis, boils, and infected cysts. The mechanism of infection is based on the deposition of botfly eggs onto an arthropod, which acts as a vector of transmission. The arthropod infects various hosts and botfly eggs are concomitantly deposited on the host. The Dermatobia eggs transform into their larval form and penetrate the skin through adjacent adnexal structures or through the arthropod-based site of inoculation itself. Growth of the organisms within the tissues causes painful cystlike lesions. This article describes cutaneous furuncular myiasis and discusses patterns of recognition and treatment modalities, with a case presentation of an individual diagnosed with the condition attained from a visit to Belize.
蝇蛆病是一种热带感染病，最常见的病因是人皮蝇，也被称为马蝇。在美国很少见。这种感染发展缓慢，常表现为疼痛性病变，类似疖病、疖子和感染性囊肿。感染机制是马蝇卵附着在节肢动物身上，节肢动物作为传播媒介。节肢动物感染各种宿主，马蝇卵随之沉积在宿主身上。人皮蝇卵转化为幼虫形态，通过相邻的附属结构或通过节肢动物接种部位本身穿透皮肤。组织内生物体的生长会导致疼痛性囊肿样病变。本文描述了皮肤疖肿性蝇蛆病，并讨论了识别模式和治疗方法，还展示了一例从伯利兹就诊病例中确诊该病的患者情况。
