Department of Dermatology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2022 Jul 20;47(2):44-46.
Myiasis refers to the infestation of living humans and vertebrate animals by dipterous larvae. Many organs can be infested by fly larvae, but cutaneous and wound myiases are the most frequently encountered clinical forms. Persistent ulcer or non-healing wound is one of the symptoms of squamous cell carcinoma which is the second most common skin cancer in the world. Here we report a case of an elderly man with a severe wound myiasis in a squamous cell carcinoma lesion of the scalp. The maggots were confirmed to be which are widespread flies in Japan. Human myiasis is rarely reported in Japan, but patients with necrotic, hemorrhaging, or pus-filled wounds are susceptible to infestation. It is necessary for doctors and nurses to ensure that their patients change their dressings daily and keep their wounds clean.
蝇蛆病是指双翅目幼虫寄生在活体人类和脊椎动物身上。许多器官都可能被蝇幼虫寄生，但皮肤和创伤蝇蛆病是最常见的临床形式。持续性溃疡或不愈合的伤口是鳞状细胞癌的症状之一，鳞状细胞癌是世界上第二大常见的皮肤癌。在这里，我们报告了一例头皮鳞状细胞癌病变严重的创伤性蝇蛆病老年患者。这些蛆虫被确认为日本广泛存在的家蝇。在日本，人蝇蛆病很少见，但有坏死、出血或脓液的伤口的患者容易受到感染。医生和护士有必要确保他们的病人每天更换敷料，并保持伤口清洁。
