从肯尼亚返回的塞尔维亚旅行者皮肤蝇蛆病。

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES

Travel Medicine and Infectious Disease Pub Date : 2025-09-01 DOI:10.1016/j.tmaid.2025.102904

Stefan Momčilović , Anson V. Koehler , Robin B. Gasser

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引用次数: 0

摘要

背景：皮肤蝇蛆病是一种由蝇类幼虫引起的体外寄生虫病。在非流行地区很少见，临床医生往往不熟悉，容易误诊。病例介绍：一名24岁的塞尔维亚旅行者从肯尼亚返回后，大腿出现疼痛性疖性病变。病变最初作为昆虫叮咬治疗，肌肉注射皮质类固醇、抗组胺药和局部使用倍他米松-庆大霉素。幼虫的自发排出导致了对蝇蛆病的识别。方法与结果：手术切除3只3龄（L3）幼虫。形态特征和线粒体cox1测序鉴定了嗜人虫草。基因分析证实与参考序列同源性99%。结论：本病例强调了旅行者镰状丝虫病诊断的挑战。了解旅行史，保持临床怀疑和分子分析对准确诊断至关重要。及时清除幼虫和预防性抗生素可最大限度地减少并发症并改善结果。

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Cutaneous myiasis in a Serbian traveller returning from Kenya

Background

Cutaneous myiasis is an ectoparasitic disease caused by fly larvae. In non-endemic regions it is rare, often unfamiliar to clinicians and readily misdiagnosed.

Case presentation

A 24-year-old Serbian traveller developed painful furuncular lesions on the thigh after returning from Kenya. The lesions were initially treated as insect bites with intramuscular corticosteroid, antihistamines and topical betamethasone–gentamicin. Spontaneous expulsion of a larva led to the recognition of myiasis.

Methods and results

Three third-instar (L3) larvae were surgically removed. Morphological features and mitochondrial cox1 sequencing identified Cordylobia anthropophaga. Genetic analysis confirmed 99 % identity with reference sequences.

Conclusion

This case highlights the challenges associated with diagnosis of furuncular myiasis in travellers. Awareness of travel history, maintenance of clinical suspicion and molecular analysis are essential for accurate diagnosis. Timely larval removal and prophylactic antibiotics minimise complications and improve outcomes.

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来源期刊

Travel Medicine and Infectious Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-INFECTIOUS DISEASES

CiteScore

19.40

自引率

1.70%

发文量

211

审稿时长

49 days

期刊介绍： Travel Medicine and Infectious Disease Publication Scope: Publishes original papers, reviews, and consensus papers Primary theme: infectious disease in the context of travel medicine Focus Areas: Epidemiology and surveillance of travel-related illness Prevention and treatment of travel-associated infections Malaria prevention and treatment Travellers' diarrhoea Infections associated with mass gatherings Migration-related infections Vaccines and vaccine-preventable disease Global policy/regulations for disease prevention and control Practical clinical issues for travel and tropical medicine practitioners Coverage: Addresses areas of controversy and debate in travel medicine Aims to inform guidelines and policy pertinent to travel medicine and the prevention of infectious disease Publication Features: Offers a fast peer-review process Provides early online publication of accepted manuscripts Aims to publish cutting-edge papers