Solomon Michal, Lachish Tamar, Schwartz Eli
Dermatology Departement, The Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Infectious Diseases Unit, Shaare-Zedek Medical Center, Jerusalem, Israel.
Curr Infect Dis Rep. 2016 Sep;18(9):28. doi: 10.1007/s11908-016-0537-6.
Myiasis is defined as the infestation of live vertebrates, either humans or animals, with dipterous larvae. Many organs can be infested by these larvae with cutaneous myiasis being the most common form. Cutaneous myiasis can be divided into three categories: localized furuncular myiasis, migratory myiaisis and wound myiasis, which occurs when fly larvae infest the open wounds of the host. Human myiasis has worldwide distribution, with more species and a heavier burden in tropical and subtropical countries. In recent years with increased travel to the tropics, myiasis has become common in returning travelers from these regions, Furuncular myiasis, mainly Dermatobia homonis becomes the most common form seen among them. Treatment is based on full extraction of the larva and no antibiotic treatment is needed. Understanding the mode of transmission of each type of myiasis may help to prevent the infestation.
蝇蛆病的定义为双翅目幼虫寄生于活体脊椎动物(包括人类和动物)。这些幼虫可侵袭许多器官,其中皮肤蝇蛆病最为常见。皮肤蝇蛆病可分为三类:局限性疖肿型蝇蛆病、游走型蝇蛆病和创伤型蝇蛆病,后者是指蝇蛆寄生于宿主的开放性伤口。人类蝇蛆病在全球范围内均有分布,热带和亚热带国家的蝇蛆种类更多、负担更重。近年来,随着前往热带地区旅行的人数增加,来自这些地区的归国旅行者中蝇蛆病变得很常见,其中疖肿型蝇蛆病(主要由人肤蝇引起)最为常见。治疗方法是将幼虫完全取出,无需使用抗生素治疗。了解每种蝇蛆病的传播方式可能有助于预防感染。