North D E, Matteson K L, Helgerson S D, Richards F, Stewart J M, Baum L, Catts E P
Nurse Pract. 1987 May;12(5):60-3.
This article describes a case of intestinal myiasis--the presence of fly larvae in the intestines--in a 12-month-old baby. The asymptomatic child was twice treated by her physician for a presumptive diagnosis of pinworm infection. The mother continued to see "worms" in the child's stool and brought her to a public health primary care clinic where she was evaluated by nurse practitioners. Larvae (maggots) of the false stable fly, Muscina stabulans, were identified in each of two stool specimens collected on different days. Examination of stool specimens from other family members showed no larvae. The likely source of the child's infection was over-ripened bananas, which were kept in a hanging basket. No pharmacologic treatment was prescribed, but the parents were instructed to cover the fruit and wash it before consumption. Nurse practitioners are encouraged to report suspected cases of myiasis and to work with patients, their families and public health personnel in order to confirm the diagnosis, identify the source and make suggestions to prevent further infestation.
本文描述了一例12个月大婴儿患肠道蝇蛆病（即肠道内存在蝇幼虫）的病例。该无症状儿童曾因疑似蛲虫感染，由其医生进行过两次治疗。母亲持续在孩子粪便中看到“虫子”，遂带她前往一家公共卫生初级保健诊所，由执业护士对其进行评估。在不同日期采集的两份粪便标本中均发现了厩腐蝇的幼虫（蛆）。对其他家庭成员的粪便标本检查未发现幼虫。孩子感染的可能来源是放在吊篮里的熟透过头的香蕉。未开药物治疗处方，但指导家长食用前覆盖并清洗水果。鼓励执业护士报告疑似蝇蛆病病例，并与患者、其家人及公共卫生人员合作，以确诊、确定感染源并提出预防进一步感染的建议。
