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产后生殖器蝇蛆病——巨大子宫肌瘤感染：一例罕见病例并文献复习

Postpartum genital myiasis - infestation with giant uterine fibroid: A rare case with review of literature.

作者信息

Ashopa Vishakha, Verma Usha, Nareda Pooja, Gupta Eshank, Prakash Prabhu

机构信息

Department of Microbioloby, Dr S.N Medical College, Jodhpur, Rajasthan, India.

出版信息

Trop Parasitol. 2020 Jul-Dec;10(2):142-146. doi: 10.4103/tp.TP_65_19. Epub 2021 Jan 25.

DOI:10.4103/tp.TP_65_19
PMID:33747883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7951076/
Abstract

A 32-year-old multiparous rural woman having 26 weeks of pregnancy with giant uterine fibroid extending up to the cervix had stillbirth 2 weeks back and left hospital against medical advice. She was readmitted in emergency with necrotic prolapsed uterine fibroid with offensive vaginal bleeding. On examination, the patient had necrotic prolapsed fibroid with very offensive bloody discharge and a large number of larvae of (human botfly) were crawling in necrotic tissue. The location of this infestation at genital region is an extremely rare occurrence in postdelivery patients.

摘要

一名32岁的经产妇，来自农村，怀孕26周，患有巨大子宫肌瘤，肌瘤向上延伸至宫颈，两周前出现死产，随后不顾医嘱自行出院。她因坏死性子宫肌瘤脱垂伴恶臭阴道出血而紧急入院。检查发现，患者有坏死性脱垂肌瘤，伴有恶臭血性分泌物，坏死组织中有大量（人肤蝇）幼虫在爬行。这种感染发生在生殖器区域，在产后患者中极为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/256bd2e11377/TP-10-142-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/4d68c4e93396/TP-10-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/771e299f0aae/TP-10-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/2bc7b4101003/TP-10-142-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/409a8183f439/TP-10-142-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/256bd2e11377/TP-10-142-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/4d68c4e93396/TP-10-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/771e299f0aae/TP-10-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/2bc7b4101003/TP-10-142-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/409a8183f439/TP-10-142-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/7951076/256bd2e11377/TP-10-142-g005.jpg

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