Myiasis and extremity involvement: A concise update

T. Ansari, G. Dharmshaktu
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Abstract

The human myiasis or infestation of larvae of various species of fly bots is uncommon but interesting health challenge in some parts of the world. The basic knowledge of this disease, however, should be beneficial to clinicians across disciplines as a spectrum of manifestations involving various organs are described in the medical literature. The extremity involvement is rather uncommon and is often found with underlying associated conditions. The diagnosis and identification of the causative species is important for documentation and management. Clinical suspicion, wound lavage, dressing, and debridement are important steps in optimal management. Appropriate systemic pharmacotherapy is supplemented for quick recovery. Prevention, however, coupled with avoidance of predisposing factors is the best management in both community and health-care settings. As the disease is more commonly noted in lower socioeconomic conditions and rural settings, the working knowledge of this condition should come in handy in anticipating, suspecting, and thus diagnosing the condition early for a prompt recovery.
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蝇蛆病和四肢受累:一个简明的更新
人类蝇蛆病或各种蝇蛆幼虫的侵染在世界上一些地区并不常见,但却是有趣的健康挑战。然而,这种疾病的基本知识应该对跨学科的临床医生有益,因为医学文献中描述了涉及各种器官的一系列表现。四肢受累是相当罕见的,经常发现有潜在的相关条件。病原种类的诊断和鉴定对文献记录和管理具有重要意义。临床怀疑、伤口灌洗、敷料和清创是最佳治疗的重要步骤。补充适当的全身药物治疗以快速恢复。然而,在社区和保健机构中,预防加上避免诱发因素是最好的管理办法。由于该病在较低的社会经济条件和农村环境中更为常见,因此对这种疾病的工作知识应该在预测、怀疑和早期诊断这种疾病以迅速康复方面派上用场。
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