Türkiye'de Bir Çocukta Wohlfahrtia magnifica'nın Neden Olduğu Aural Miyaz Vakası

Miyaz, omurgalı hayvan ve insanların doku ve organlarının diptera dizisindeki sinek larvaları ile istilasıdır. Bu olguda, Silopi’de yaşayan dört yaşında bir çocuk hasta sağ kulağında ağrı, kaşıntı ve akıntı şikayetleriyle polikliniğe başvurmuştur. Fizik muayenesinde çok sayıda yabancı cisim, akıntı ve işitme kaybının olduğu görülmüştür. Cerrahi pens yardımıyla 20 adet canlı larva orta kulak ve dış kulak yolundan çıkarılmıştır. Parazitoloji laboratuvarında yapılan incelemede kurtçukların 3. dönem Wohlfahrtia magnifica larvası olduğu tespit edilmiştir. Sonuç olarak, kulak ağrısı, kulak akıntısı, kaşıntısı ve işitme kaybı yaşayan özellikle çocuk hastalar kulak miyazı yönünden muayene edilmelidir

A Case of Aural Myiasis Caused by Wohlfahrtia magnifica in a Child in Turkey

Myiasis is the infestation of tissues and organs of vertebrate animals and humans by the larval stages of dipterous flies. In present case, a four year old child living in Silopi was applied to our clinic with complaints of otalgia, pruritus and otorrhea in the right ear. In the physical examination, aural fetor, secretion and several foreign bodies were observed. Twenty living maggots were removed from the external auditory canal EAC using surgical forceps. The maggots were identified as third phase larvae of Wohlfahrtia magnifica. In conclusion, patient should be examined for aural myiasis in case of otalgia, otorrhea, itching, and hearing impairments, especially in children

___

  • Meinking TL, Burkhart CN, Burkhart CG. Changing paradigms in parasitic infections: common dermatological helminthic infections and cutaneous myiasis. Clin Dermatol, 2003; 21: 407-16.
  • Hall MJR, Farkas R. Traumatic myiasis of humans and animals. Papp L, Darvas B, editors. Contributions to a Manual of Palaearctic Diptera. Vol 1: General and Applied Dipterology. Budapest: Science Herald, 2000: 751–68.
  • Francesconi F, Lup O. Myiasis. Clin Microbiol Rev, 2012; 25: 79–105.
  • Markell EK, David TJ, Krotoski WA. Fly larvae that cause myiasis. 8th edition. Philadelphia: WB Saunders Company, 1999.
  • John DT, Petri WA. Markell and Voge’s Medical Parasitology. 9th edition. USA: Saunders, Elsevier, 2006: 328–35.
  • Hall M, Wall R. Myiasis of humans and domestic animals. Adv Parasitol, 1995; 35: 257–334.
  • Goddard J. Flies whose maggots cause myiasis in humans. In: Physician’s Guide to Arthropods of Medical Importance, 2nd edn. Florida: CRC Press, 1996: 169–87.
  • Noutsis C, Millikan LE. Myiasis. Dermatol Clin, 1994; 12: 729–36.
  • Ruiz Martinez I, Soler Cruz MD, Benitez Rodriguez R. Postembriyonic development of Wohlfahrtia magnifica (Schiner, 1862) (Diptera: Sarcophagidae). J Parasitol, 1989; 75: 531–9.
  • Colebrook E, Wall R. Ectoparasites of livestock in Europe and the Mediterranean region, Vet Parasitol, 2004; 120: 251–74.
  • Hall MJ. Trapping the flies that cause myiasis: Their responses to host-stimuli. Ann Trop Med Parasitol, 1995; 89: 333–57.
  • Çiftçioglu N, Altintas K, Haberal M. A case of human orotracheal myiasis caused by Wohlfahrtia magnifica. Parasitol Res, 1997; 83: 34–36.
  • Yuca K, Caksen H, Sakin FY, Yuca SA, Kırış M, Yılmaz H, Çankaya H. Aural myiasis in a children and literature review. Tohoku J Exp Med, 2005; 206: 125-130.
  • Tuygun N, Özkan AT, Tanır G, Mumcuoğlu K. Furuncular myiasis in a child caused by Wohlfahrtia magnifica (Diptera: Sarcophagidae) associated with eosinophilia. Turkish J of Pediatr, 2009; 51: 279-81.
  • Yazar S, Dik B, Yalçın S, Demirtaş F, Yaman O, Öztürk M, Şahin İ. Nosocomial Oral Myiasis by Sarcophaga sp. in Turkey Yonsei Med J, 2005; 46(3): 431-4.
  • Uzun L, Cinar F, Beder LB, Aslan T, Altintas K. Radical mastoidectomy cavity myiasis caused by Wohlfahrtia magnifica. J Laryngol Otol, 2004; 118: 54–6.
  • Karaman E, Samasti M, Saritzali G, Ozdemir S, Halil MC, Isildak H. Otomyiasis by Wohlfahrtia magnifica. J Craniofac Surg, 2009; 20 (6): 2123-34.
  • Kokcam I, Saki CE. A case of cutaneous myiasis caused by Wohlfahrtia magnifica. J Dermatol, 2005; 32: 459-63.
  • Maurya RP, Mishra D, Bhushan P, Singh VP, Singh MK. Orbital Myiasis: Due to Invasion of Larvae of Flesh Fly (Wohlfahrtia magnifica) in a Child; Rare Presentation. Ophthal Med, 2012; 371498: 1–2.
  • Tang H, Wang XW, Tang GH. Two cases with gum myiasis caused by Wohlfahrtia magnifica. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi, 2003; 21: 30.
  • Salimi M, Goodarzi D, Karimfar MH, Edalat H. Human Urogenital Myiasis Caused by Lucilia sericata (Diptera: Calliphoridae) and Wohlfahrtia magnifica (Diptera: Sarcophagidae) in Markazi Province of Iran. Iranian J Arthropod-Borne Dis, 2010; 4: 72–6.
  • Panu F, Cabras G, Contini C, Onnis D. Human auricolar myiasis caused by Wohlfartia magnifica (Schiner) (Diptera: Sarcophagidae): first case found in Sardinia. J Laryngol Otol, 2000; 114: 450–2.
  • Kaczmarczyk D., J. Kopczyński, J. Kwiecień, M. Michalski and P. Kurnatowski. The human aural myiasis caused by Lucilia sericata. Wiad Parazytol, 2011; 57: 27–30.
  • Rohela M, Jamaiah I, Amir L, Nissapatorn V. A case of auricular myiasis in Malaysia. Southeast Asian J Trop Med Public Health, 2006; 37: 91–4.