皮肤镜诊断外眼蝇蛆病。

Diagnosis of ophthalmomyiasis externa by dermatoscopy.

机构信息

Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care Research; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva; Elon Moreh Clinic, Clalit Health Services, Shomron district, Lev Shomron, Israel.

Parasitology Unit, Department of Microbiology and Molecular Genetics, The Kuvin Center for the Study of Infectious and Tropical Diseases, The Hebrew University-Hadassah Medical School, Jerusalem, Israel.

出版信息

Dermatol Pract Concept. 2014 Oct 31;4(4):85-7. doi: 10.5826/dpc.0404a19. eCollection 2014 Oct.

DOI:10.5826/dpc.0404a19

PMID:25396095

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4230269/

Abstract

Ophthalmomyiasis in humans caused by the larvae of the sheep nasal botfly (Oestrus ovis) and is a rare phenomenon in Israel. We describe the utilization of the dermatoscope as a diagnostic tool for the facilitation of early diagnosis of conjunctivitis due to the infestation of the eyes by the sheep nasal botfly in two patients. After the physical removal of the larvae with the help of a cotton swab applicator under a slit lamp examination and the topical use of antibiotics, the clinical symptoms improved within 1-2 days. Undoubtedly the dermatoscope played a crucial role leading to the definitive diagnosis and immediate therapeutic intervention.

摘要

人体眼部蝇蛆病是由羊鼻蝇（Oestrus ovis）的幼虫引起的，在以色列较为罕见。我们描述了使用皮肤镜作为诊断工具的情况，这有助于在两名患者中因眼部感染羊鼻蝇而出现结膜炎时尽早做出诊断。在裂隙灯检查下使用棉签涂抹器取出幼虫，并局部使用抗生素后，临床症状在 1-2 天内得到改善。毫无疑问，皮肤镜在明确诊断和立即进行治疗干预方面发挥了关键作用。