[来自此地及其他地方的蝇蛆病：假呋喃西林病和伊氏李斯特菌幼虫菌血症]

[Myases from here and elsewhere : pseudo-furonculosis and Ignatzschineria larvae bacteremia].

作者信息

Berthod Delphine, Duss François-Régis, Palazzuolo Michele, Eyer Myriam, Onya Opota, Aellen Steve, Bettschart Vincent, Schmid Timo, Greub Gilbert, Troillet Nicolas

机构信息

Service des maladies infectieuses, Institut central des hôpitaux, Hôpital du Valais, 1950 Sion.

Service de médecine interne, Hôpital Riviera-Chablais Vaud-Valais, 1847 Rennaz.

出版信息

Rev Med Suisse. 2020 Oct 14;16(710):1932-1936.

PMID:33058580

Abstract

Myiasis is an infestation by maggots. In humans, it predominates in regions with low socio-economic development. We report on two cases of myiasis acquired during a tropical travel and in Switzerland, respectively. The first one presented as a furunculous-like disease due to the invasion of subcutaneous tissues by Cordylobia sp. larvae. The second corresponded to a chronic wound infestation that resulted in a rarely reported bacteremia due to Ignatzschineria larvae, a commensal bacteria of maggots' digestive tract. Surgery was necessary in both cases, mainly for psychological reasons in the first case. Both the entomologist and molecular biology were instrumental for treatment decisions.

摘要

蝇蛆病是由蛆虫引起的感染。在人类中，它在社会经济发展水平较低的地区较为常见。我们报告了两例分别在热带旅行期间和瑞士感染蝇蛆病的病例。第一例表现为类似疖病的疾病，是由Cordylobia属幼虫侵入皮下组织所致。第二例是慢性伤口感染，因蛆虫消化道的共生细菌伊氏菌属幼虫导致了罕见的菌血症。两例均需手术治疗，第一例主要是出于心理原因。昆虫学家和分子生物学在治疗决策中都发挥了重要作用。