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因甲虫(澳洲隐翅虫)引发的水疱性皮炎爆发而对一个原住民社区进行疏散。

Evacuation of an Aboriginal community in response to an outbreak of blistering dermatitis induced by a beetle (Paederus australis).

作者信息

Todd R E, Guthridge S L, Montgomery B L

机构信息

Darwin Rural Hospital, Territory Health Services, NT.

出版信息

Med J Aust. 1996 Feb 19;164(4):238-40. doi: 10.5694/j.1326-5377.1996.tb94150.x.

DOI:10.5694/j.1326-5377.1996.tb94150.x
PMID:8604198
Abstract

OBJECTIVE

To describe an outbreak of dermatitis induced by the beetle Paederus australis and the public health measures implemented to control it.

SETTING

A remote Aboriginal community in the Northern Territory of Australia.

METHODS

Inspection of the community and interviews with residents to document skin lesions, sleeping locations and beetle activity. Samples of the beetle were collected for identification.

RESULTS

The community was affected by a plague of beetles. All 40 residents reported painful, blistering, skin lesions. Four required hospitalisation for treatment of an extensive exfoliating and ulcerating dermatitis. The community was evacuated to allow skin lesions to heal and the beetle plague to decline.

CONCLUSION

This is the first reported en masse outbreak of Paederus dermatitis in Australia. Paederus dermatitis should be considered as a differential diagnosis of vesicular dermatitis in tropical Australia.

摘要

目的

描述由澳洲隐翅虫引起的皮炎暴发情况以及为控制该疾病所采取的公共卫生措施。

地点

澳大利亚北领地的一个偏远原住民社区。

方法

对社区进行检查并与居民访谈,以记录皮肤损伤、睡眠地点和甲虫活动情况。采集甲虫样本进行鉴定。

结果

该社区遭受甲虫灾害。所有40名居民均报告出现疼痛性水疱性皮肤损伤。4人因广泛性剥脱性和溃疡性皮炎需住院治疗。社区居民被疏散,以使皮肤损伤愈合,甲虫灾害减轻。

结论

这是澳大利亚首次报告的大规模隐翅虫皮炎暴发。在澳大利亚热带地区,隐翅虫皮炎应被视为水疱性皮炎的鉴别诊断之一。

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