Singh I, Gathwala G, Yadav S P, Wig U, Jakhar K K
Department of Otolaryngology, Medical College and Hospital, Rohtak, India.
Int J Pediatr Otorhinolaryngol. 1993 Jan;25(1-3):127-31. doi: 10.1016/0165-5876(93)90045-5.
A retrospective analysis of 94 cases of childhood myiasis admitted over a 6-year period is presented. Children formed 37.9% of all cases of myiasis. More than 50% of the children were less than 5 years of age and most (96.8%) belonged to a rural background. Of the 94 cases, 81 (86.16%) were of aural, 11 (11.7%) of nasal and 2 (2.12%) of ocular myiasis. The peak incidence was seen from September to October. The main symptoms in aural myiasis were passage of worms (81.48%), discharge (44.44%) and pain (41.97%). In nasal myiasis epistaxis (100%), foul smell (100%) passage of worms (90.9%) and pain (72.72%) were the prime presenting symptoms. All patients were treated with chloroform and turpentine oil in the ratio 1:4 which was followed by manual removal of the maggots and were made maggot-free in 2-3 days. No complications were seen.
本文对6年间收治的94例儿童蝇蛆病病例进行了回顾性分析。儿童占所有蝇蛆病病例的37.9%。超过50%的儿童年龄小于5岁，且大多数（96.8%）来自农村背景。在94例病例中，81例（86.16%）为耳蝇蛆病，11例（11.7%）为鼻蝇蛆病，2例（2.12%）为眼蝇蛆病。发病高峰出现在9月至10月。耳蝇蛆病的主要症状为排出虫体（81.48%）、分泌物（44.44%）和疼痛（41.97%）。鼻蝇蛆病的主要症状为鼻出血（100%）、恶臭（100%）、排出虫体（90.9%）和疼痛（72.72%）。所有患者均接受按1:4比例混合的氯仿和松节油治疗，随后手动清除蛆虫，并在2至3天内清除干净。未观察到并发症。
