Letaïef Ziad, Walgraeve Marie-Sofie
Radiology, Universitair Ziekenhuis Brussel, Jette, BEL.
Radiology, Algemeen Ziekenhuis Sint-Jan Brugge, Brugge, BEL.
Cureus. 2025 May 7;17(5):e83640. doi: 10.7759/cureus.83640. eCollection 2025 May.
A pediatric patient presented to the emergency department with ambiguous scalp lesions following recent travel to a tropical region. Despite a prompt physical examination and subsequent laboratory investigations, a definitive diagnosis could not be established. An experienced ultrasound radiologist from our team was consulted to assist in the diagnostic process using ultrasound imaging. The ultrasound revealed the presence of subcutaneous larvae, confirming a diagnosis of cutaneous myiasis, which had initially mimicked a more common dermatological condition. This case highlights the valuable role that ultrasound can play in elucidating rare skin lesions, particularly in regions where clinicians may lack experience with tropical diseases due to their infrequent presentation. Early use of ultrasound in similar cases may expedite diagnosis and treatment, improving patient outcomes and reducing unnecessary interventions.
一名儿科患者近期前往热带地区后，因头皮出现不明病变而前往急诊科就诊。尽管进行了快速的体格检查及随后的实验室检查，但仍无法确诊。我们团队咨询了一位经验丰富的超声放射科医生，以借助超声成像协助诊断过程。超声检查发现皮下有幼虫，确诊为皮肤蝇蛆病，该病最初曾被误诊为一种更常见的皮肤病。该病例凸显了超声在明确罕见皮肤病变方面可发挥的重要作用，尤其是在临床医生因热带疾病不常出现而缺乏相关经验的地区。在类似病例中早期使用超声可加快诊断和治疗，改善患者预后并减少不必要的干预措施。
