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一例罕见的膀胱蝇蛆病误诊为放射性膀胱炎——首例病例报告

"A rare case of bladder myiasis mimicking radiation cystitis-A first case report".

作者信息

Kumar Mahendra, Saikia Sujit, Das Anup Kumar, Barmon Debabrata, Baruah Upasana, Begum Dimpy, King Sopouassi V Nicholas

机构信息

Department of Gynaecological Oncology Dr. B. Borooah Cancer Institute Guwahati Assam India.

Department of Urology Central Nursing Home Guwahati Assam India.

出版信息

Clin Case Rep. 2024 Aug 6;12(8):e9240. doi: 10.1002/ccr3.9240. eCollection 2024 Aug.

DOI:10.1002/ccr3.9240
PMID:39114849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11303453/
Abstract

Patients diagnosed with cancer post-treatment are prone to have recurrent disease. Regular follow-up of these patients enables early recognition and treatment. A tissue diagnosis before starting treatment is imperative to avoid misdiagnosis and management. Given their immunosuppression, maintaining good nutrition, body hygiene, and clean surroundings is essential to prevent the most common urinary tract infection to rare urinary myiasis infection. , , and are the most prevalent flies causing myiasis in human beings. Risk factors for urinary myiasis are open or untreated wounds and debris around the genital area. Specific flies, ticks, and mosquitoes are responsible for myiasis in tropical or subtropical countries, when it is usually not transmitted from human to human. Flies lay their eggs near the urethra, and the larvae hatch and migrate to the bladder. Increased urinary frequency, haematuria, and lower abdominal pain are the most commonly found presenting symptoms. Simple preventive measures can avoid these complications. So, prevention is better than cure.

摘要

治疗后被诊断患有癌症的患者容易出现疾病复发。对这些患者进行定期随访有助于早期识别和治疗。开始治疗前进行组织诊断对于避免误诊和不当处理至关重要。鉴于他们的免疫抑制状态,保持良好的营养、身体卫生和清洁的环境对于预防最常见的尿路感染到罕见的泌尿生殖道蝇蛆病感染至关重要。 、 和 是导致人类蝇蛆病最常见的苍蝇。泌尿生殖道蝇蛆病的危险因素是开放性伤口或未治疗的伤口以及生殖器区域周围的碎屑。在热带或亚热带国家,特定的苍蝇、蜱虫和蚊子是导致蝇蛆病的原因,通常不会在人与人之间传播。苍蝇在尿道附近产卵,幼虫孵化后迁移到膀胱。尿频、血尿和下腹痛是最常见的症状。简单的预防措施可以避免这些并发症。所以,预防胜于治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/1f6d48e260cd/CCR3-12-e9240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/a93d649c4a6d/CCR3-12-e9240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/2177f69aa185/CCR3-12-e9240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/89e9b4cdc98c/CCR3-12-e9240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/1f6d48e260cd/CCR3-12-e9240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/a93d649c4a6d/CCR3-12-e9240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/2177f69aa185/CCR3-12-e9240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/89e9b4cdc98c/CCR3-12-e9240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1f/11303453/1f6d48e260cd/CCR3-12-e9240-g001.jpg

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本文引用的文献

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Case Rep Med. 2022 Apr 1;2022:7910176. doi: 10.1155/2022/7910176. eCollection 2022.
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Urogenital myiasis - An atypical presentation.泌尿生殖系统蝇蛆病——一种非典型表现。
Autops Case Rep. 2020 Dec 8;11:e2020192. doi: 10.4322/acr.2020.192.
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Case report: Urogenital myiasis in an adult male.病例报告:一名成年男性的泌尿生殖系统蝇蛆病。
Urol Case Rep. 2020 Jun 17;33:101303. doi: 10.1016/j.eucr.2020.101303. eCollection 2020 Nov.
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Human urogenital myiasis: A systematic review of reported cases from 1975 to 2017.人类泌尿生殖系统蝇蛆病:对1975年至2017年报告病例的系统综述。
Eur J Obstet Gynecol Reprod Biol. 2019 Apr;235:57-61. doi: 10.1016/j.ejogrb.2019.02.008. Epub 2019 Feb 15.
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Occurrence of human urogenital myiasis due to neglected personal hygiene: a review.由于忽视个人卫生而导致的人体泌尿生殖道蝇蛆病的发生:综述。
Trans R Soc Trop Med Hyg. 2019 Jan 1;113(1):4-10. doi: 10.1093/trstmh/try107.
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Human urinary myiasis by Psychoda albipennis: A case report and review of literature.白蛉致人类尿道蝇蛆病:一例报告及文献复习
Urol Case Rep. 2018 Sep 6;21:122-123. doi: 10.1016/j.eucr.2018.08.015. eCollection 2018 Nov.
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Long-term, adverse genitourinary outcomes among endometrial cancer survivors in a large, population-based cohort study.在一项大型基于人群的队列研究中,子宫内膜癌幸存者的长期不良泌尿生殖系统结局。
Gynecol Oncol. 2018 Mar;148(3):499-506. doi: 10.1016/j.ygyno.2017.12.025. Epub 2017 Dec 27.
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Urogenital myiasis caused by Psychoda albipennis in a child.一名儿童因白蛉引起的泌尿生殖系统蝇蛆病。
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