非洲疖肿型嗜人瘤蝇蛆病1例分析及文献复习

A case report and literature review of African cutaneous furunculous myiasis

报道刚果(金)维和官兵疖肿型嗜人瘤蝇蛆病一例。患者36岁,在刚果(金)维和8个月,否认其他传染病区居住史。穿着室外悬挂的衣服后数天,上腹部、右肩部分别出现伴有中央孔的疖肿,瘙痒明显,中央破溃,有淡黄色渗液,稍感疼痛。一般情况良好,全身淋巴结未触及肿大。经挤压疖肿周围皮肤,分别排出嗜人瘤蝇幼虫后愈合。复习人类皮肤蝇蛆病流行病学特点及诊治,发现它是容易被忽视的疾病,需提高警惕。

A case of cutaneous furunculous myiasis caused by Cordylobia anthropophaga among peacekeeping officers in the Democratic Republic of Congo(DRC) is reported. The patient, 36 years old, had been in the DRC for 8 months,denied any history of residence in any other infectious disease area. A few days after wearing the clothes hanging outdoors, he developed a boil with a central hole in the upper abdomen and right shoulder respectively. Itching is obvious, with central rupture, light yellow exudate, slight pain. General condition is good, systemic lymph node enlargement were not touched. After squeezing the skin around the furuncle, the larvae of the tumbu fly was ejected and the furuncle was healed. Reviewing the epidemiological characteristics, diagnosis and treatment of cutaneous furuncular myiasis, it is found that it is easy to be neglected, and vigilance is needed.