并发眼外肌蝇蛆病和耳蝇蛆病：美国一家城市医院的病例报告

Concurrent ophthalmomyiasis externa and aural myiasis: A case report in an urban hospital in the United States.

作者信息

Jiang Ying, Rengan Anil, Matz Joseph, Krakauer Mark

机构信息

Department of Ophthalmology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

Department of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

出版信息

Am J Ophthalmol Case Rep. 2020 Jan 8;17:100590. doi: 10.1016/j.ajoc.2020.100590. eCollection 2020 Mar.

DOI:10.1016/j.ajoc.2020.100590

PMID:32021944

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994286/

Abstract

PURPOSE

To describe a case of concurrent ophthalmomyiasis externa and aural myiasis in a patient presenting with headache, right eye pain and blurred vision in an urban hospital in Philadelphia, PA.

OBSERVATIONS

Myiasis is the parasitic infestation of a live mammal with fly larvae that feed and grow on host tissue. Predominantly described in the Middle East, Africa and Asia, it is rarely reported in the United States. We describe a case of concurrent ophthalmomyiasis externa and aural myiasis in a 44-year-old man who presented with headache, right eye pain and blurred vision in an urban hospital in Philadelphia, PA. After complete extraction and examination at bedside and in the operating room, the patient improved without complications after treatment with topical antibiotics and steroids.

CONCLUSIONS

Although rare in urban settings in the United States, in certain demographic populations, it is important to consider myiasis in the setting of eye and ear pain and to perform a complete eye and ear examination.

摘要

目的

描述在宾夕法尼亚州费城一家城市医院中，一名出现头痛、右眼疼痛和视力模糊症状的患者同时患有眼外蝇蛆病和耳蝇蛆病的病例。

观察结果

蝇蛆病是指活体哺乳动物被蝇幼虫寄生，蝇幼虫在宿主组织上进食并生长。蝇蛆病主要在中东、非洲和亚洲被描述，在美国很少有报道。我们描述了一名44岁男性患者同时患有眼外蝇蛆病和耳蝇蛆病的病例，该患者在宾夕法尼亚州费城一家城市医院出现头痛、右眼疼痛和视力模糊症状。在床边及手术室进行完整的取出和检查后，患者经局部抗生素和类固醇治疗后康复，未出现并发症。