Aich Arindom, Al-Ismaili Suad, Ramadhan Fatma A, Al-Wardi Talal H M, Al-Salmi Quasem, Al-Hashami Hilal
Department of Paediatrics, Royal Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2015 Nov;15(4):e546-9. doi: 10.18295/squmj.2015.15.04.018. Epub 2015 Nov 23.
Pulmonary myiasis is an unusual form of myiasis in humans and has been recently identified as a cause of eosinophilic pneumonia. We report the case of a 13-year-old Omani boy who presented to the Royal Hospital, Muscat, Oman, in October 2014 with respiratory distress. Bronchial aspirates revealed features of eosinophilic pneumonia. Possible larvae identified in the cytology report, a high immunoglobulin E level and the patient history all indicated bronchial myiasis. The patient was treated with steroids and ventilation and has since been disease-free with no long-term side-effects. To the best of the authors' knowledge, this is the first case of bronchial myiasis in Oman.
肺蝇蛆病是一种罕见的人类蝇蛆病形式，最近被确认为嗜酸性粒细胞性肺炎的一个病因。我们报告一例13岁阿曼男孩的病例，该男孩于2014年10月因呼吸窘迫前往阿曼马斯喀特的皇家医院就诊。支气管吸出物显示出嗜酸性粒细胞性肺炎的特征。细胞学报告中发现的可能幼虫、高免疫球蛋白E水平以及患者病史均提示支气管蝇蛆病。该患者接受了类固醇和通气治疗，此后一直无病，也没有长期副作用。据作者所知，这是阿曼首例支气管蝇蛆病病例。
