Chung P R, Jung Y, Kim K S, Cho S K, Jeong S, Ree H I
Department of Parasitology, Inha University College of Medicine, Inchon, Korea.
Korean J Parasitol. 1996 Jun;34(2):151-4. doi: 10.3347/kjp.1996.34.2.151.
A 71-year old male patient was admitted in Inha hospital due to right facial palsy, quadriplegia and aphasia. This patient was operated to replace his heart values 7 years ago and has been treated with Coumarin, an anti-coagulant drug, to prevent the formation of thrombus in the heart. A number of fly maggots continuously crawled out from the nasogastric tube set up for supplying a liquid diet and patient's mouth for 2 days until his death in the intensive care unit of hospital. These maggots were about 11.5 mm long on the average and identified as genus Lucilia belonging to family Calliphoridae. The lesion of this myiasis case might be regarded in the gastro-intestinal system of patient. This is the first report of an internal myiasis case in Korea.
一名71岁男性患者因右侧面瘫、四肢瘫痪和失语入住仁荷医院。该患者7年前接受过心脏瓣膜置换手术,一直在服用抗凝血药物香豆素以防止心脏形成血栓。在医院重症监护病房,患者死亡前的两天里,大量蝇蛆不断从为提供流食而设置的鼻胃管以及患者口中爬出。这些蛆平均长约11.5毫米,经鉴定为丽蝇科的绿蝇属。该蝇蛆病病例的病变部位可能在患者的胃肠道系统。这是韩国国内首例体内蝇蛆病病例报告。