Wade Nicola, Shahi Farah, Mawer Damian, Brown Nicholas
Maxillofacial Surgery Department, York Teaching Hospital NHS Foundation Trust, York, UK.
Microbiology Department, York Teaching Hospital NHS Foundation Trust, York, UK.
BMJ Case Rep. 2019 Jan 22;12(1):e228070. doi: 10.1136/bcr-2018-228070.
We present a rare cause for cutaneous furuncular myiasis in a 55-year-old British traveller returning from Uganda. Initially presenting with what appeared to be a cellulitic furuncle on her forehead, she returned to the emergency department 3 days later with extensive preseptal periorbital swelling and pain. Occlusive treatment with petroleum jelly was applied and one larva manually extracted and sent to London School of Tropical Medicine for examination. It was identified as Lund's Fly (), a rare species from the rainforests of Africa with only one other case reported in the UK since 2015. Ultrasound imaging identified another larva, necessitating surgical exploration and cleaning. The lesion subsequently healed completely and the patient remains well.
我们报告了一名从乌干达返回的55岁英国旅行者患皮肤疖肿蝇蛆病的罕见病例。最初她的前额出现看似蜂窝织炎样的疖肿,3天后返回急诊科,出现广泛的眶隔前眶周肿胀和疼痛。采用凡士林闭塞治疗,并手动取出一条幼虫,送往伦敦热带医学院检查。该幼虫被鉴定为伦德氏蝇(Lund's Fly),这是一种来自非洲雨林的罕见物种,自2015年以来英国仅报告过另外一例。超声成像发现了另一条幼虫,因此需要进行手术探查和清理。病变随后完全愈合,患者恢复良好。