Koeppen Roberta L, Tadros Nicholas N
Southern Illinois University School of Medicine, Springfield, IL, USA.
Southern Illinois University School of Medicine, Division of Urology, Springfield, IL, USA.
Urol Case Rep. 2020 Jun 17;33:101303. doi: 10.1016/j.eucr.2020.101303. eCollection 2020 Nov.
Urogenital Myiasis is rarely documented in developed countries, so epidemiological data are limited and often associated with travel to endemic regions. We report a Case of urogenital myiasis, unassociated with travel, in a 31 year old male. The patient presented to the emergency department after passing a larval fly during micturition. Pathologic examination of the initial urine sample confirmed the presence of living fly larvae and further evaluation was arranged with the urology department. The patient had no further episodes, and resolution was confirmed via urinalysis and cystoscopy. Several common risk factors were identified, including poor sanitation and hygiene.
泌尿生殖系统蝇蛆病在发达国家鲜有记录，因此流行病学数据有限，且常与前往流行地区旅行有关。我们报告一例31岁男性的泌尿生殖系统蝇蛆病病例，该病例与旅行无关。患者在排尿时排出一只蝇幼虫后前往急诊科就诊。对初始尿液样本的病理检查证实存在活的蝇幼虫，并安排泌尿外科进行进一步评估。患者未再出现此类情况，通过尿液分析和膀胱镜检查证实病情已缓解。确定了几个常见的危险因素，包括卫生条件差和个人卫生习惯不良。
