How Estelle Hong, Yap Darren, Mbakada Nik
Department of Emergency medicine, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire, BB2 3HH, UK.
J Med Case Rep. 2017 Nov 3;11(1):310. doi: 10.1186/s13256-017-1472-3.
Furuncular myiasis is a parasitic infection of a live mammal by fly larvae commonly seen in Africa. However, with an increase in international tourism, there is a significant rise in exotic infection in non-endemic areas which can pose a diagnostic challenge to doctors and potentially lead to delay in treatment. From the current literature, only 12 cases were reported in the UK.
We report an unusual case of multiple abscesses in a 32-year-old white British woman presenting to our Emergency department in the UK after returning from a holiday in The Gambia, West Africa. She did not complain of systemic symptoms and was otherwise fit and healthy with no significant past medical history. During examination, two maggots were expressed from the abscesses by applying lateral pressure to each lesion. The larvae were found to be Cordylobia anthropophaga. She was discharged with antibiotics to prevent secondary infection with no further follow-up.
With globalization, the need for increasing awareness of tropical diseases has become important to win the battle against future epidemics.
疖肿蝇蛆病是一种由蝇幼虫寄生在活体哺乳动物身上引起的感染，常见于非洲。然而，随着国际旅游业的发展，非流行地区的外来感染显著增加，这可能给医生带来诊断挑战，并可能导致治疗延误。从目前的文献来看，英国仅报告了12例病例。
我们报告了一例不寻常的病例，一名32岁的英国白人女性，从西非冈比亚度假归来后，到英国我们的急诊科就诊，出现多处脓肿。她没有全身性症状，身体状况良好，既往无重大病史。检查时，通过对每个病灶施加侧向压力，从脓肿中挤出了两条蛆虫。发现这些幼虫为嗜人瘤蝇。她出院时带了抗生素以预防继发感染，未进行进一步随访。
随着全球化的发展，提高对热带疾病的认识对于打赢未来疫情防控战至关重要。
