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婴儿口腔内有一个奇怪的齿龈开口:一例口腔蝇蛆病。

A Strange Gingival Orifice in an Infant: A Case of Oral Myiasis.

出版信息

J Clin Pediatr Dent. 2021 Nov 1;45(5):341-343. doi: 10.17796/1053-4625-45.5.9.

Abstract

Myiasis is a parasitic infection of humans and animals caused by dipterous larvae and is often seen in rural areas. For the first time in the literature as a case of gingival myiasis in an 18-month-old healthy child with good oral hygiene is reported. This case presents the clinical and histopathologic features of oral myiasis. The patient had a swelling in the upper lip for three days and a perforation in the gingiva. After mechanical removal of larvae intraoral symptoms resolved within six days. The larva was identified as Wohlfahrtia magnifica according to the histopathologic evaluation. Dentists working in rural areas should be aware of this very rare condition and its treatment.

摘要

蝇蛆病是一种由双翅目幼虫引起的人类和动物的寄生虫感染,多见于农村地区。本文首次报道了一例口腔蝇蛆病,发生于一名 18 个月大的健康儿童,口腔卫生良好。该病例表现出口腔蝇蛆病的临床和组织病理学特征。患者上唇肿胀 3 天,牙龈穿孔。经口内机械取出幼虫后,6 天内口腔症状消退。根据组织病理学评估,幼虫被鉴定为华丽巨首带绦虫。在农村地区工作的牙医应该意识到这种非常罕见的疾病及其治疗方法。

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