Freitas Daniel Melecchi, Aranovich Flavio, Olijnyk José Nicolau, Lemos Renan
Professor, Department of Urology, Hospital Conceição, Porto Alegre (RS), Brazil.
Resident, Department of Urology, Hospital Conceição, Porto Alegre (RS), Brazil.
Sao Paulo Med J. 2018;136(6):594-596. doi: 10.1590/1516-3180.2017.0138290517. Epub 2017 Nov 9.
Myiasis is caused by larval infestation that usually occurs in exposed wounds. Dermatobia hominis is the most common fly species responsible for this parasitic infection. Genital piercing is an ornamental practice used in certain social circles. At placement, it transverses the skin surface and, as such, may be related to complications.
We report a case of a 31-year-old man with a history of wound infection secondary to genital piercing who was exposed to an environment with flies, leading to myiasis. Mechanical removal and systemic antiparasitic drugs are possible treatments for myiasis. However, prevention that includes wound cleaning and dressing is the best way to avoid this disease.
Genital piercing can lead to potential complications and myiasis may occur when skin lesions are not properly treated.
蝇蛆病是由幼虫感染引起的，通常发生在暴露的伤口处。人皮蝇是导致这种寄生虫感染的最常见蝇类。生殖器穿刺是在某些社交圈子中进行的一种装饰行为。穿刺时会穿过皮肤表面，因此可能与并发症有关。
我们报告一例31岁男性病例，该患者有生殖器穿刺继发伤口感染史，暴露于有苍蝇的环境中，导致蝇蛆病。机械清除和全身性抗寄生虫药物是治疗蝇蛆病的可行方法。然而，包括伤口清洁和包扎在内的预防措施是避免这种疾病的最佳方法。
生殖器穿刺可能导致潜在并发症，当皮肤损伤未得到妥善治疗时可能会发生蝇蛆病。
