一例由丽蝇科引起的兼性眼外蝇蛆病及文献复习
A case of facultative ophthalmomyiasis externa due to Calliphoridae and review of the literature.
作者信息
Wolek Michael, Tourmouzis Konstantinos, Garcia Armando, Byrd Jason, Weissbart Sarah, Boyle Nariman, Honkanen Robert
机构信息
Stony Brook University Renaissance School of Medicine, 100 Nicolls Road, Stony Brook, NY, 11794-8430, USA.
Royal United Hospital, Combe Park, Bath, United Kingdom.
出版信息
Am J Ophthalmol Case Rep. 2023 Feb 19;30:101822. doi: 10.1016/j.ajoc.2023.101822. eCollection 2023 Jun.
PURPOSE
To describe a case of bilateral facultative ophthalmomyiasis externa due to Calliphoridae in a 30-year-old male assault victim at a suburban hospital in New York and review the relevant literature.
OBSERVATIONS
An adult male was found to have maggot infestation of both eyes and severe secondary injury to the left cornea and ocular surface. He was treated with manual larvae removal, oral ivermectin, broad spectrum IV antibiotics, and topical antibiotics. Anterior segment reconstruction was required.
CONCLUSIONS AND IMPORTANCE
We report the first case of ophthalmomyiasis due to Calliphoridae in the United States and document the vision threatening potential of this rare condition. Timely examination by an ophthalmologist with early debridement may help prevent vision-threatening sequelae.
目的
描述纽约一家郊区医院一名30岁男性袭击受害者因丽蝇科导致双侧兼性眼外肌蝇蛆病的病例，并回顾相关文献。
观察结果
一名成年男性双眼出现蛆虫感染，左眼角膜和眼表严重继发性损伤。对其进行了手动清除幼虫、口服伊维菌素、广谱静脉抗生素和局部抗生素治疗。需要进行前段重建。
结论与意义
我们报告了美国首例因丽蝇科导致的眼肌蝇蛆病病例，并记录了这种罕见疾病对视力的潜在威胁。眼科医生及时检查并尽早清创可能有助于预防视力威胁性后遗症。
Zotero 插件