Demir Ayşegül Doğan, Iraz Meryem, İpek Duygu Neval Sayın
Department of Pediatrics, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey.
Department of Microbiology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey.
Turk Pediatri Ars. 2015 Mar 1;50(1):65-8. doi: 10.5152/tpa.2015.463. eCollection 2015 Mar.
Urogenital myiasis results when flies lay their eggs near the exit of the urethra and the larvae proceed upward along the urogenital tract. In this case report, a 10 year-old female patient diagnosed with urogenital myiasis was reported. The patient presented with complaints including painful and frequent urination, genital pruritus and moving larvae in urine. The patient had received Enterobius vermicularis treatment previously for two times. A 24-hour urine sample was collected and two black larvae were found in the urine. It was found that these larvae were fourth-stage larvae of Psychoda albipennis. Although there was no risk factor, the patient was affected with this rare parasitological disease. This case was presented to draw attention to myiasis in children. Myiasis may be observed in individuals with a favourable hygiene status and a high socioeconomical level. If a detailed history is not taken and appropriate laboratory tests are not performed, the diagnosis may be missed.
当苍蝇在尿道出口附近产卵，幼虫沿泌尿生殖道向上移动时，就会导致泌尿生殖系统蝇蛆病。在本病例报告中，报道了一名被诊断为泌尿生殖系统蝇蛆病的10岁女性患者。患者的主诉包括尿痛、尿频、生殖器瘙痒以及尿液中有活动的幼虫。该患者此前曾接受过两次蛲虫治疗。收集了24小时尿液样本，在尿液中发现了两条黑色幼虫。发现这些幼虫是白蛉的第四期幼虫。尽管该患者没有危险因素，但仍感染了这种罕见的寄生虫病。本病例旨在引起对儿童蝇蛆病的关注。在卫生状况良好和社会经济水平较高的个体中也可能观察到蝇蛆病。如果没有详细询问病史且未进行适当的实验室检查，可能会漏诊。
