口腔鳞状细胞癌中出现蝇蛆病:病例报告。
Myiasis Encountered in Squamous Cell Carcinoma of the Oral Cavity: A Case Report.
发表日期:2024 Jun
作者:
Hassam Zaka Khan, Syeda Aliza Shahid, Nausheen Bakht, Syed Shahid Nafees Zaidi
来源:
Parasites & Vectors
摘要:
蝇蛆病是一种罕见的寄生虫病,由感染人体组织的蝇幼虫引起。其后果可能很严重,因为感染可能导致耳聋、失明、广泛的组织损失,甚至死亡。我们介绍了一名患有蝇蛆病的 62 岁巴基斯坦妇女,她患有晚期高分化口腔鳞状细胞癌 (OSCC),正在接受姑息化疗。患者的颏下和颌下区域出现广泛的坏死性病变,并感染了活幼虫。管理包括三个疗程的机械切除和伊维菌素。一旦所有幼虫被消灭,患者就被转诊至整形外科进行重建。本病例报告强调了对 OSCC 患者,特别是那些有广泛溃疡病灶的患者,保持对蝇蛆病高度怀疑的重要性。对高危人群和医疗保健提供者进行有关蝇蛆病和伤口卫生重要性的教育,对于减轻这种可预防并发症的负担至关重要。版权所有 © 2024,Khan 等人。
Myiasis is a rare parasitic condition, caused by fly larvae infesting human tissues. Its consequences can be severe, as deafness, blindness, extensive tissue loss, and even death can occur due to the infestation. We present a case of myiasis in a 62-year-old Pakistani woman with advanced well-differentiated oral squamous cell carcinoma (OSCC) undergoing palliative chemotherapy. The patient presented with an extensive, necrotic lesion in the submental and submandibular region infested with live larvae. Management included mechanical removal over three sessions and ivermectin. Once all the larvae were eradicated, the patient was referred to the plastic surgery department for reconstruction. This case report highlights the importance of maintaining a high index of suspicion for myiasis in patients with OSCC, particularly those with extensive ulcerated lesions. Educating at-risk individuals and healthcare providers on myiasis and the importance of wound hygiene is crucial for reducing the burden of this preventable complication.Copyright © 2024, Khan et al.