Polat Erdal, Ağgez Hülya
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, İstanbul, Türkiye.
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Acil Tıp Anabilim Dalı, Yara Bakım Ünitesi, İstanbul, Türkiye.
Turkiye Parazitol Derg. 2018 Sep;42(3):229-232. doi: 10.5152/tpd.2018.5846.
Classical treatment was administered on the wound on the left foot of the patient, but no improvement was observed. When advised to undergo amputation, the patient came to the wound care unit to treat the larval wound. It was observed that the wound had been wormed while the patient was undergoing larval treatment. Interestingly, this incidental encounter was thought to be appropriate for case presentation.
The larvae seen in the left hand of the patient were removed using forceps and sent to a laboratory. The larvae as well as adult flies obtained from them were examined directly and stereomicroscopically, their photographs were captured, and they were typed.
The larvae in the third stage and adult flies were identified as Sarcophaga sp.
Hygiene deficiency, inadequate sanitation, and improper wound care are important factors responsible for myiasis formation. We believe that myiasis can be avoided if adequate sanitation and hygiene and appropriate and regular wound care are provided.
对患者左脚伤口进行了传统治疗，但未见改善。在建议患者进行截肢手术时，患者来到伤口护理单元治疗幼虫伤口。观察发现，在患者接受幼虫治疗时伤口已生蛆。有趣的是，这次偶然事件被认为适合作为病例报告。
用镊子取出患者左手所见幼虫并送至实验室。对幼虫及其羽化出的成虫直接进行肉眼和体视显微镜检查，拍摄照片并进行分类鉴定。
第三期幼虫和成虫被鉴定为肉蝇属。
卫生条件差、环境卫生不足以及伤口护理不当是导致蝇蛆病形成的重要因素。我们认为，如果提供充足的环境卫生和个人卫生以及适当且定期的伤口护理，蝇蛆病是可以避免的。
