Botfly myiasis after travel to Bolivia.
Botfly myiasis after travel to Bolivia.
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DOI：
10.1002/ski2.253
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发表时间：
2023-10
影响因子：
--
通讯作者：
Wei, Maria L
中科院分区：
文献类型：
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作者：
Chattopadhyay, Aheli;Wang, Jason F;Wei, Maria L
在前往玻利维亚旅行后，一名32岁女性出现左小腿溃疡，病变内有运动感。在接受了四名初级保健提供者的检查后，她在从玻利维亚返回后7周被转诊到皮肤科。当时，她被发现有一个5毫米的渗出性溃疡，底部可见一个活幼虫。我们进行了打孔活检以清除马蝇，之后患者愈合良好。在此，我们讨论的方式，临床表现，旅游史，皮肤镜检查和超声可以有助于诊断马蝇肌。虽然不需要治疗马蝇感染，但我们讨论了在考虑治疗时共同决策的重要性，以及提取方法，包括机械或手术切除，这可能有助于减少患者焦虑和继发感染的风险。随着全球旅行恢复到2019冠状病毒病大流行之前的水平，皮肤科医生必须了解热带皮肤病的症状和治疗。一名32岁女性在前往玻利维亚旅行后出现左小腿溃疡，病变内有运动感，诊断为马蝇感染，并通过打孔活检切除。我们使用这个案例作为指导，讨论临床表现，旅行史，皮肤镜检查和超声如何有助于诊断马蝇肌萎缩症，以及为那些选择寻求治疗的人提供的安全切除的各种选择。随着全球旅行的增加，皮肤科医生识别热带皮肤病的体征和症状非常重要。
Following a trip to Bolivia, a 32‐year‐old woman developed a left lower leg ulcer with a sensation of movement within the lesion. After being seen by four primary care providers, she was referred to dermatology 7 weeks after her return from Bolivia. At that time, she was found to have a 5 mm weeping ulcer, with a live larva visible at the base. We conducted a punch biopsy for botfly removal, after which the patient healed well. Herein we discuss the ways in which clinical presentation, history of travel, dermoscopy, and ultrasound can contribute to diagnosing botfly myiasis. While treatment of botfly infestation is not required, we discuss the importance of shared decision‐making in considering treatment, as well as methods for extraction, including mechanical or surgical removal, which may help to reduce patient anxiety and the risk for secondary infection. As global travel resumes to levels prior to the Covid‐19 pandemic, it is important for dermatologists to be aware of the presenting symptoms and treatment of tropical skin disorders. A 32‐year‐old woman developed a left lower leg ulcer with a sensation of movement within the lesion after travel to Bolivia, which was diagnosed as botfly infestation and removed via punch biopsy. We use this case as a guide to discuss how clinical presentation, history of travel, dermoscopy, and ultrasound can contribute to diagnosing botfly myiasis, and the various options for safe removal that are available for those who choose to pursue treatment. With global travel increasing, it is important for dermatologists to recognise signs and symptoms of tropical skin disorders.