后天与先天性巨先天性:1例报告

S. Segun-Busari, O. A. Afolab, O. Ibrahim, B. Alabi, A. Dunmade
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摘要

黄蜂属于一类昆虫,除非受到威胁,否则不会故意攻击人类。它是膜翅目(也包括蜜蜂和蚂蚁)的一员。它由各种蛋白质和酶组成。它还含有一种类似乙酰胆碱的物质、组胺、5 -羟色胺和一种激肽(引起肌肉缓慢收缩和降低动脉血压的多肽)。对大多数人来说,黄蜂蜇伤会引起最初的局部剧烈疼痛,然后是受影响部位的肿胀和瘙痒。我们提出一个十七岁的男学生谁提出了持续突出的耳朵后,黄蜂蜇伤的左耳持续十年。对突出耳行细针吸细胞学检查,结果不确定。皮肤切片显示只有炎症细胞,没有微丝蚴的证据。在局部麻醉下对肥大的耳廓进行楔形切口活检。在耳前螺旋和耳后沟区域进行活检。组织学报告显示炎症细胞,无恶性肿瘤证据。获得性大肌痛可能是黄蜂蜇伤的一种不寻常的表现,有关叮咬和蜇伤的信息应纳入西非的伤害预防计划,例如由澳大利亚农场安全开发的计划。关键词:巨耳症,外耳炎,黄蜂,耳鼻喉科
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Macrotia - Acquired As Against Congenital: A Case Report
Wasp belongs to a group of insect that does not intentionally attack human unless threatened1. It is a member of the Hymenoptera order (which also includes bees and ants). Its consists of various proteins and enzymes. It also contains an acetylcholine-like substance, histamine, serotonin and a kinin (peptides which cause slow muscle contractions and lower the arterial blood pressure)1. In most people the wasp sting causes an initial sharp localized pain followed by swelling and itching of the affected part. We present a case of a seventeen year old male student who presented with persistently protruding ear following a wasp sting on the affected left ear ten years duration. On the protruding ear, fine needle aspiration cytology was done but the result was inconclusive. A skin snip revealed only inflammatory cells with no evidence of microfilaria. A wedged incisional biopsy of the hypertrophied pinna was done under local anaesthesia. Biopsy was taken from anterior helix and the post auricular sulci area. The Histology report revealed inflammatory cell with no evidence of malignancy. Acquired Macrotia may be an unusual presentation in wasp sting, information on bites and stings should be incorporated within injury prevention programs in West Africa such as those developed by Farmsafe Australia. Key words: Macrotia, Otitis externa, wasp, Otorhinolaryngologist
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