Pedersen T S, Kaaris K, Højlyng N
Medicinsk afdeling B., Frederiksberg Hospital.
Ugeskr Laeger. 1995 Jun 26;157(26):3772-3.
Cutaneous myiasis is the infestation of skin or mucous membranes with larvae of flies. We describe a case caused by Dermatobia hominis, acquired in South America. Cutaneous myiasis should be suspected in a patient with a secreting, non-healing furuncular skin-lesion and relevant travel history. The patient may remember being bitten by insects. Sensation of movement in the lesion, which may be observed, supports the diagnosis. Correct diagnosis will prevent unnecessary treatment with antibiotics, and surgery will almost always prove unnecessary.
皮肤蝇蛆病是指蝇类幼虫寄生于皮肤或黏膜引起的疾病。我们报告1例由人肤蝇(Dermatobia hominis)引起的皮肤蝇蛆病,患者在南美洲感染。对于有分泌性、不愈合的疖样皮肤病变且有相关旅行史的患者,应怀疑皮肤蝇蛆病。患者可能记得被昆虫叮咬过。病变处可观察到的蠕动感有助于诊断。正确的诊断可避免不必要的抗生素治疗,而且几乎总能证明手术也是不必要的。