Esenkaya Taşbent Fatma, Dik Bilal
Necmettin Erbakan University Meram Faculty of Medicine, Department of Medical Microbiology, Konya, Turkey.
Selçuk University Faculty of Veterinary, Department of Parasitology, Konya, Turkey.
Mikrobiyol Bul. 2018 Apr;52(2):214-220. doi: 10.5578/mb.66410.
Demodicosis is an ectoparasitic cutaneous infestation of pilosebaceous unit caused by Demodex mites. Demodex spp. are considered to be pathogenic when they increase in number and infect dermis.They can be the cause of diseases such as pityriasis folliculorum, papulopustular rosacea, granulomatous rosacea, inflammatory papule, acne vulgaris, perioral dermatitis, blepharitis and folliculitis. These mites can be found in most mammals including human. Canine and feline demodicosis is a well-known example of severe dermatitis caused by the proliferation of Demodex mites. Dogs are one of the most popular pets worldwide with well-being feeling to their owners. However, they may cause a health risk to humans due to their zoonotic diseases potential. Demodicosis is a severe and prevalent dermatologic disease in dogs. In this case report, a Demodex case thought to be related with a dog infestation was presented. A twenty-year-old girl student who feeds a Miniature Pinscher crossbred dog in her house for a while noticed common itchy papulopustular lesions, incrustation and some alopecic loci in her dog and admitted to Selçuk University Faculty of Veterinary Medicine, Department of Parasitology. Itchy papules and pustules were also observed in dog's owner face and arm about three or four weeks later. Skin scrapings and hair samples were taken from the patient and the dog and examined with light microscope. Adult and egg forms of Demodex spp. were detected in both patient and dog specimens in microscopic examination. Ivermectin treatment was recommended as 0.2 mg/kg for the dog. The owner of the dog was sent to a dermatology clinic and topical permethrin was recommended for the treatment. At the end of the first month the dog was controlled again, a whole clinical and microscopic improvement was observed and all of the lesions were disappeared for both the dog and its owner. This demodicosis case, thought to originate from a dog, is a rare condition because of Demodex mites are known to be highly host specific and not a zoonotic parasite. Although host specific cross infections between humans and animals have been rarely reported, D. canis was determined to be more transmissible across species than the other Demodex mites as indicated in the literature. As a result, it is necessary and important to keep in mind about Demodex spp. infestation in patients with skin complaints and pet feeding.
蠕形螨病是由蠕形螨引起的皮脂腺毛囊单位的皮肤外寄生虫感染。当蠕形螨数量增加并感染真皮时,被认为具有致病性。它们可能是引起诸如毛囊糠疹、丘疹脓疱型酒渣鼻、肉芽肿性酒渣鼻、炎性丘疹、寻常痤疮、口周皮炎、睑缘炎和毛囊炎等疾病的原因。这些螨虫在包括人类在内的大多数哺乳动物中都能找到。犬猫蠕形螨病是蠕形螨增殖引起严重皮炎的一个著名例子。狗是全球最受欢迎的宠物之一,能给主人带来幸福感。然而,由于它们具有人畜共患病的潜在风险,可能会对人类健康构成威胁。蠕形螨病是犬类一种严重且普遍的皮肤病。在本病例报告中,呈现了一例被认为与犬类感染有关的蠕形螨病例。一名20岁的女学生在家中饲养一只迷你杜宾杂交犬一段时间后,注意到她的狗身上出现常见的瘙痒性丘疹脓疱病变、结痂和一些脱毛部位,遂将其送至塞尔丘克大学兽医学院寄生虫学系。大约三四周后,在狗主人的面部和手臂上也观察到了瘙痒性丘疹和脓疱。从患者和狗身上采集了皮肤刮片和毛发样本,并在光学显微镜下进行检查。在显微镜检查中,在患者和狗的样本中均检测到了蠕形螨的成虫和虫卵形态。建议对狗使用伊维菌素,剂量为0.2毫克/千克。狗的主人被送往皮肤科诊所,建议使用外用氯菊酯进行治疗。在第一个月末再次对狗进行检查,观察到整体临床和显微镜检查结果均有改善,狗及其主人的所有病变均消失。这例被认为源自狗的蠕形螨病病例较为罕见,因为已知蠕形螨具有高度宿主特异性,并非人畜共患寄生虫。尽管人类和动物之间宿主特异性交叉感染的报道很少,但如文献所示,犬蠕形螨被确定比其他蠕形螨更容易跨物种传播。因此,对于有皮肤问题且饲养宠物的患者,牢记蠕形螨感染情况非常必要且重要。