Surgery Department, First Graceland Hospitals, Abijo, Lagos, Nigeria.
Pan Afr Med J. 2022 May 27;42:75. doi: 10.11604/pamj.2022.42.75.35227. eCollection 2022.
Cutaneous myiasis is endemic in West Africa, and it is most commonly caused by the larvae of Cordylobia anthropophaga. In English literature, recorded cases of this cutaneous myiasis affecting the glans penis are rare. This rarity calls for a need to consider this as a differential when looking at furuncular lesions of the glans penis. This awareness is important for practitioners who may come across this case. We report a case of furuncular myiasis of the glans penis due to the larvae of C. anthropophaga of an 11-year-old boy living in Lagos, Nigeria. The patient presented with a lesion on his glans penis, initially thought to be a boil. Upon examination, the lesion contained a single larva of C. anthropophaga. It was extracted, and the area healed well. Although endemic, furuncular myiasis of the glans penis is a very rare condition, likely related to the living circumstance of the patient. An awareness of the clinical features is important to prevent misdiagnoses of foruncular lesions that occur on the glans penis, especially in people with identified risk factors. Health education and promotion of good hygiene are important in reducing the incidence of Cordylobia anthropophaga infestation.
皮肤蝇蛆病在西非流行，最常见的病因是嗜人瘤蝇的幼虫。在英文文献中，记录到的这种皮肤蝇蛆病影响阴茎龟头的病例很少见。这种罕见性要求在观察龟头疖性病变时将其作为鉴别诊断。对于可能遇到这种情况的医生来说，这种认识很重要。我们报告了一例尼日利亚拉各斯 11 岁男孩阴茎龟头疖性蝇蛆病，由嗜人瘤蝇的幼虫引起。患者出现了阴茎龟头上的病变，最初被认为是疖子。检查时，病变处有一条嗜人瘤蝇的幼虫。将其取出后，该区域愈合良好。虽然皮肤蝇蛆病在西非流行，但发生在阴茎龟头上的疖性蝇蛆病非常罕见，可能与患者的生活环境有关。了解其临床特征对于预防误诊龟头疖性病变很重要，尤其是对于有明确危险因素的患者。开展健康教育和促进良好的卫生习惯对于减少嗜人瘤蝇感染的发生很重要。
