Rationale:Human myiasis is the invasion of tissue or organs by fly larvae.This could be obligatory,facultative,or accidental.Patient concerns:A 4-year-old Saudi boy complained of fever over the past three days with mu...Rationale:Human myiasis is the invasion of tissue or organs by fly larvae.This could be obligatory,facultative,or accidental.Patient concerns:A 4-year-old Saudi boy complained of fever over the past three days with multiple inflamed painful dermal furuncles and worms-like discharge.Diagnosis:Furuncular obligatory myiasis caused by Wohlfahrtia magnifica.Interventions:Maggots were removed for identification.The wounds were cleaned with antiseptic dressings.Topical and oral antibiotics were applied.Outcomes:Seven days later,the wounds completely healed.Lessons:Although several reports correlated human myiasis with old age,low health status,mental retardation,and low socioeconomic status,but the patient in our case was a healthy child from a family with good socioeconomic status,good hygiene,no history of diseases or mental disability,but traveled to a village where the climate is suitable for fly breeding.展开更多
Rationale:Myiasis is more commonly found in ulcerated tissues and tropical climates,although it can also occur in non-tropical climates and in healthy individuals.Patient concerns:The patient was a 4-year-old girl who...Rationale:Myiasis is more commonly found in ulcerated tissues and tropical climates,although it can also occur in non-tropical climates and in healthy individuals.Patient concerns:The patient was a 4-year-old girl who presented to the emergency department with three nodular lesions on the skull,associated with edema,tenderness,pain,and purulent drainage.Diagnosis:Furuncular myiasis caused by Wohlfahrtia magnifica.Interventions:Antibiotic therapy was initiated,and the patient was taken to the operating room for larval removal.Mupirocin ointment and petroleum jelly were applied daily.Three days later,a second operation was performed to remove the remaining live larvae from the tissue.Outcomes:After 14 days of treatment,the patient was cured and discharged.Lessons:Although furuncular myiasis is more commonly observed in ulcerated and necrotic tissues,it can also occur in healthy individuals,particularly in the absence of proper hygiene,even in non-tropical regions.展开更多
文摘Rationale:Human myiasis is the invasion of tissue or organs by fly larvae.This could be obligatory,facultative,or accidental.Patient concerns:A 4-year-old Saudi boy complained of fever over the past three days with multiple inflamed painful dermal furuncles and worms-like discharge.Diagnosis:Furuncular obligatory myiasis caused by Wohlfahrtia magnifica.Interventions:Maggots were removed for identification.The wounds were cleaned with antiseptic dressings.Topical and oral antibiotics were applied.Outcomes:Seven days later,the wounds completely healed.Lessons:Although several reports correlated human myiasis with old age,low health status,mental retardation,and low socioeconomic status,but the patient in our case was a healthy child from a family with good socioeconomic status,good hygiene,no history of diseases or mental disability,but traveled to a village where the climate is suitable for fly breeding.
文摘Rationale:Myiasis is more commonly found in ulcerated tissues and tropical climates,although it can also occur in non-tropical climates and in healthy individuals.Patient concerns:The patient was a 4-year-old girl who presented to the emergency department with three nodular lesions on the skull,associated with edema,tenderness,pain,and purulent drainage.Diagnosis:Furuncular myiasis caused by Wohlfahrtia magnifica.Interventions:Antibiotic therapy was initiated,and the patient was taken to the operating room for larval removal.Mupirocin ointment and petroleum jelly were applied daily.Three days later,a second operation was performed to remove the remaining live larvae from the tissue.Outcomes:After 14 days of treatment,the patient was cured and discharged.Lessons:Although furuncular myiasis is more commonly observed in ulcerated and necrotic tissues,it can also occur in healthy individuals,particularly in the absence of proper hygiene,even in non-tropical regions.
