女性阴道肌炎病例报告

Zhonghui He, Xiaoning Wei, Wensheng Xu, Xinghong Wang
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摘要

蠅蛆病是一种罕见的疾病,以双翅目幼虫侵袭人体器官为特征。虽然蠅蛆病常见于皮肤、眼睛、耳朵和鼻咽部,但人类生殖器蠅蛆病却很少发生。以前曾有外阴和脱垂子宫肌炎的病例记录。 在本研究中,我们介绍了一例居住在中国南方温暖潮湿地区的年轻女性阴道肌炎病例。治疗方法包括人工取出蛆虫,并用 0.01% 的高锰酸钾溶液冲洗阴道 7 天。随访一个月后,她痊愈并更换了住所,阴道霉菌病也没有复发。 在已报道的阴道霉菌病病例中,治疗阴道霉菌病的方法有:机械取蛆、清除坏死组织、用抗菌溶液(如 1%伊维菌素丙二醇溶液)冲洗。在本病例中,使用低浓度的高锰酸钾溶液作为氧化剂冲洗阴道,效果良好。 蛆虫滋生可能是由于在适宜的环境中进行不卫生的性交,清除蛆虫并用低浓度高锰酸钾溶液冲洗阴道可能是一种有效的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case report of female vaginal myiasis
Myiasis, a rare affliction, is distinguished by the infestation of human organs by larvae of the Diptera species. Although myiasis is commonly observed in the skin, eyes, ears, and nasopharynx, the occurrence of human genital myiasis is infrequent. Instances of vulvar and prolapsed uterus myiasis have been previously documented. In this study, we present a case of vaginal myiasis in a young female residing in the warm and humid climate of south China. The treatment approach involved manual extraction of the maggots and vaginal irrigation with a 0.01% potassium permanganate solution for 7 days. As one month followed up, she was cured and then change residence, the vaginal myiasis was not recurrence. In reported myiasis cases, mechanical extraction of maggots, debridement of necrotic tissue, and irrigation with antiseptic solutions, such as 1% ivermectin solution in propylene glycol were the treatment of myiasis. In this case, a low-concentration solution of potassium permanganate, serving as an oxidizing agent, was utilized as a vaginal douching agent, and had a good effect. Infestation of maggots likely occurred due to unsanitary intercourse in a suitable environment, removal of maggots and vaginal irrigation with low concentration solution of potassium permanganate may be an effective therapy.
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