Post Graduate Department of Zoology, Khalsa College Amritsar, Amritsar, Punjab, 143001, India.
Parasitol Res. 2021 Mar;120(3):1091-1096. doi: 10.1007/s00436-020-06978-9. Epub 2020 Nov 27.
Myiasis is a parasitic infestation of live vertebrates with the dipteran larvae that grow within the host while feeding on its living or dead tissue. Human myiasis is prevalent among individuals in close association of domestic animals and those inhabiting the unhygienic conditions. Open neglected suppurative wounds are the favourable sites that attract and stimulate the gravid female flies for oviposition. However, the poor personal hygiene, ignorance and the mental illness further add to it. Tracheopulmonary myiasis involves the infestation of foul smelling nasal and oral orifices or neglected wounds like tracheostomal incisions with the parasitic dipteran larvae which may extend up to the trachea, bronchi and lungs leading to serious health complications. Despite the incidence of human tracheopulmonary infestation is rare, the severe medical impediments and heterogeneous worldwide distribution signify the medical importance of this condition. The present manuscript reviews and summarizes the worldwide reported cases of human tracheopulmonary myiasis and the predisposing risk factors for onset of the same, as future reference for parasitologists and medical professionals.
蝇蛆病是一种寄生性疾病,其幼虫在宿主体内生长并以宿主的活体或死亡组织为食。人类蝇蛆病在与家畜密切接触的人群以及生活在不卫生环境中的人群中较为常见。开放性、未处理的化脓性伤口是吸引并刺激怀有虫卵的雌蝇产卵的有利部位。然而,不良的个人卫生习惯、无知和精神疾病也会加重这种情况。气管肺蝇蛆病涉及有臭味的鼻和口腔孔或被忽视的伤口(如气管造口术切口)被寄生性双翅目幼虫感染,这些幼虫可能延伸至气管、支气管和肺部,导致严重的健康并发症。尽管人类气管肺蝇蛆病的发病率较低,但严重的医疗障碍和全球分布的异质性表明了这种情况的重要性。本文回顾和总结了全球报道的人类气管肺蝇蛆病病例以及发病的相关危险因素,以供寄生虫学家和医疗专业人员参考。