Novati S, Sacchi L, Chichino G, Scaglia M
Istituto di Clinica delle Malattie Infettive, Università/IRCCS S. Matteo, Pavia.
Parassitologia. 1994 Dec;36(3):265-7.
We report a case of a tourist, coming back from Tanzania, who presented with a foruncle on the left thigh diagnosed as a bacterial infection, which eventually turned out to be a myiasis foruncle. The patient said he had sat on the ground in short trousers. The lesion was covered with petroleum jelly and the larva was observed migrating from the lesion and subsequently extracted with forceps. The morphology of larval spiracles allowed to characterize the species as Cordylobia anthropophaga. Behaviour of the most common myiasis-producing flies, their life cycle and the way of infection are briefly described. Foruncular myiasis is a typical example of a tropical disease that can be misdiagnosed by clinicians in Western Countries where this pathology is uncommon.
我们报告一例来自坦桑尼亚的游客病例，该患者左大腿出现疖肿，最初被诊断为细菌感染，最终确诊为蝇蛆性疖肿。患者称自己曾穿着短裤坐在地上。病变部位涂抹了凡士林，观察到幼虫从病变处移出，随后用镊子取出。幼虫气门的形态特征表明该物种为嗜人瘤蝇。简要描述了最常见的致蝇蛆病蝇类的行为、生命周期及感染方式。疖肿蝇蛆病是一种典型的热带疾病，在西方国家这种病症并不常见，临床医生可能会误诊。
