Sierra Natalia, Toro Ana C, Valencia Manuela, Prada Ángela M, Varela Gabriel J, Herazo Fernando A
Emergency Department, Pablo Tobón Uribe Hospital, Medellín, Colombia.
Department of Radiology, Mamografía e Imágenes Diagnósticas DIMA S.A., Medellín, Colombia.
Oxf Med Case Reports. 2023 Aug 20;2023(8):omac143. doi: 10.1093/omcr/omac143. eCollection 2023 Aug.
Fly larvae cause myiasis. The most common of these are and . Clinically, myiasis manifests as an erythematous papule that may become ulcerated and form furuncular lesions. In patients who have been in endemic areas, these larvae are to be suspected. Below, we present a 75-year-old male with a clinical picture of a palpable mass in the areola associated with the outflow of serohematic fluid through a central orifice. A breast intraductal lesion was suspected, so a breast ultrasound and biopsy were performed, which showed a structure compatible with myiasis. The diagnostic challenge was the high number of different diagnoses and the little knowledge of health professionals about tropical diseases.
蝇蛆可引起蝇蛆病。其中最常见的是[此处原文缺失两种蝇蛆名称]。临床上，蝇蛆病表现为红斑丘疹，可能会发生溃疡并形成疖肿样病变。对于曾去过流行地区的患者，应怀疑有这些幼虫感染。以下，我们介绍一位75岁男性，其临床表现为乳晕处可触及肿块，并伴有血清血性液体通过中央小孔流出。怀疑有乳腺导管内病变，因此进行了乳腺超声检查和活检，结果显示为与蝇蛆病相符的结构。诊断面临的挑战是有大量不同的诊断结果，且卫生专业人员对热带疾病了解甚少。
