Mensah Carole, Tavares Andrew P, Jahoor Brigitte, Echefu-Nnaji Cynthia, Adeyinka Adebayo
Pediatrics, The Brooklyn Hospital Center, Brooklyn, USA.
Cureus. 2020 Apr 7;12(4):e7581. doi: 10.7759/cureus.7581.
Cutaneous myiasis is a condition that involves an infestation of fly larvae into human tissue, most commonly caused by Dermatobia (D.) hominis or the bot fly. While this is a condition most commonly seen in tropical regions of the globe due to increased travel to endemic regions, physicians must increasingly be aware of this as a potential diagnosis. In addition, there is minimal literature on cutaneous myiasis in the pediatric patient and its potential associated symptoms. This case report thus highlights a toddler that presented to our facility with a raised, erythematous scalp lesion and associated preauricular and occipital lymphadenopathy. Of note, the patient had a recent travel history to Belize, an endemic area where she was likely infected. As there are multiple other differentials for not only scalp swellings in the pediatric population, in addition to regional adenopathy, a high index of suspicion was needed to make the diagnosis. Ultrasound was the imaging modality used to visualize the fly larva, and surgical excision was the mechanism of treatment. Thus, this case highlights a unique presentation of cutaneous myiasis in a toddler and aims to add to the growing body of literature on a condition likely to be encountered by physicians at a greater frequency.
皮肤蝇蛆病是一种蝇幼虫侵入人体组织的疾病，最常见的病因是人皮蝇（Dermatobia hominis）或马蝇。虽然由于前往流行地区的旅行增加，这种疾病在全球热带地区最为常见，但医生必须越来越意识到这是一种潜在的诊断。此外，关于儿科患者皮肤蝇蛆病及其潜在相关症状的文献很少。本病例报告重点介绍了一名幼儿，该幼儿因头皮出现隆起的红斑性病变以及耳前和枕部淋巴结病前来我院就诊。值得注意的是，该患者近期有前往伯利兹的旅行史，伯利兹是一个流行地区，她很可能在那里感染。由于儿科人群中头皮肿胀以及局部淋巴结病还有多种其他鉴别诊断，因此需要高度怀疑才能做出诊断。超声是用于观察蝇幼虫的成像方式，手术切除是治疗方法。因此，本病例突出了幼儿皮肤蝇蛆病的独特表现，旨在为医生可能更频繁遇到的这种疾病的不断增长的文献增添内容。
