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病例报告:秘鲁北部两种蝇蛆病的临床和病理差异。

Case Report: Myiasis due to and : Clinical and Pathological Differences between Two Species in Northern Peru.

机构信息

Laboratorio de Parasitología, Metaxénicas y Zoonosis, Hospital Regional Lambayeque, Lambayeque, Peru.

School of Medicine, Universidad Nacional Pedro Ruiz Gallo, Lambayeque, Peru.

出版信息

Am J Trop Med Hyg. 2018 Jan;98(1):150-153. doi: 10.4269/ajtmh.16-0437. Epub 2018 Jan 1.

Abstract

Infestations caused by fly larvae (Myiasis) have been observed in patients with risk factors and in tropical zones. The aim of our study was to describe the clinical and epidemiological aspects and the risk factors associated with the occurrence of obligatory myiasis, as well as the therapeutic approach to patients. We identified the cases of myiasis diagnosed in two referral hospitals in northern Peru from January 2012 to December 2015 and included patients in whom larval development and a compatible clinical profile were observed. Epidemiological, clinical, analytical, diagnostic, therapeutic, and follow-up data were collected from clinical files. Nine clinical cases were compatible with a diagnosis of myiasis; of these, two were pediatric patients, one was a middle-aged adult, and six were elderly patients. Four of the nine patients were male. The identified species were and The therapeutic approach included antiparasitic therapy with ivermectin, antibacterial, and in some cases, anti-inflammatory drugs. and are the predominant species causing myiasis in northern Peru.

摘要

在有风险因素的患者和热带地区已经观察到由蝇幼虫(蝇蛆病)引起的感染。我们研究的目的是描述与强制性蝇蛆病发生相关的临床和流行病学方面以及危险因素,并描述对患者的治疗方法。我们从秘鲁北部的两家转诊医院的病历中确定了 2012 年 1 月至 2015 年 12 月诊断为蝇蛆病的病例,并纳入了观察到幼虫发育和符合临床特征的患者。从临床档案中收集了流行病学、临床、分析、诊断、治疗和随访数据。有 9 个临床病例符合蝇蛆病的诊断;其中,2 例为儿科患者,1 例为中年成人,6 例为老年患者。9 例患者中有 4 例为男性。鉴定的物种为 和 在秘鲁北部, 和 是引起蝇蛆病的主要物种。

治疗方法包括使用伊维菌素进行驱虫治疗,以及在某些情况下使用抗生素和抗炎药物。

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