Ruiz-Zapata Juan David, Figueroa-Gutiérrez Luis Mauricio, Mesa-Franco Jaime Alberto, Moreno-Gutierrez Paula Andrea
Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Colombia.
Grupo de Investigación en Biomedicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia.
Front Med (Lausanne). 2020 Jan 22;6:292. doi: 10.3389/fmed.2019.00292. eCollection 2019.
Myasis is the infestation by fly larvae (Diptera) in live vertebrates including humans. Myasis has been reported most commonly in tropical and subtropical areas around the world with poor sanitation and presence of cattle. Neonatal umbilical myiasis is an important cause of death in bovines and produces major economic losses in the livestock industry. However, its presentation in humans is rare, with a few cases reported worldwide. Moreover, umbilical myasis can be life-treating due to the risk of larvae migration to deeper tissues of the abdomen, omphalitis, and sepsis. We describe the case of a 7-day-old infant admitted to the hospital due to umbilical cord myiasis. In total, 55 larvae were removed from the wound and identified as . The patient recovered satisfactorily after treatment with ivermectin and amoxicillin. A literature search was performed in Pubmed, Medline, Lilacs and Google Scholar, with 64 cases of myasis by being reviewed. Oral cavity, wounds, scalp and natural orifices are the main affected anatomical areas. Risk factors include the extremes of age, male sex, poor hygiene, alcohol and drug use, cancer, and mental disability. Programs for human myiasis prevention and surveillance are needed in neotropical areas where living conditions make it difficult to implement control strategies.
蝇蛆病是指包括人类在内的活体脊椎动物被蝇幼虫（双翅目）寄生。在世界上卫生条件差且有牛存在的热带和亚热带地区，蝇蛆病的报告最为常见。新生牛犊脐部蝇蛆病是牛死亡的一个重要原因，给畜牧业造成重大经济损失。然而，其在人类中的表现罕见，全球仅报告了少数病例。此外，由于幼虫迁移至腹部深层组织、脐炎和败血症的风险，脐部蝇蛆病可能危及生命。我们描述了一名因脐带蝇蛆病入院的7日龄婴儿的病例。总共从伤口中取出55条幼虫，并鉴定为……。患者在接受伊维菌素和阿莫西林治疗后恢复良好。我们在PubMed、Medline、Lilacs和谷歌学术上进行了文献检索，共查阅了64例由……引起的蝇蛆病病例。口腔、伤口、头皮和自然孔道是主要受影响的解剖部位。危险因素包括年龄极端情况、男性、卫生条件差、酗酒和吸毒、癌症以及精神残疾。在生活条件难以实施控制策略的新热带地区，需要开展预防和监测人类蝇蛆病的项目。
